Kevin Michael Li, MD - Medicare Family Practice in Santa Rosa, CA

Kevin Michael Li, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Santa Rosa, California. He went to Georgetown University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice City And County Of San Francisco and his current practice location is 1300 N Dutton Ave, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 396-5151.

Kevin Michael Li is licensed to practice in California (license number A98063) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619186764.

Contact Information

Kevin Michael Li, MD
1300 N Dutton Ave,
Santa Rosa, CA 95401-7112
(707) 396-5151
Not Available

Map and Direction




Physician's Profile

Full NameKevin Michael Li
GenderMale
SpecialityFamily Practice
Experience24 Years
Location1300 N Dutton Ave, Santa Rosa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Michael Li attended and graduated from Georgetown University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1619186764
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133284250
  • Enrollment ID: I20090224000350

Medical Identifiers

Medical identifiers for Kevin Michael Li such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619186764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A98063 (California)Secondary
207QA0505XFamily Medicine - Adult Medicine A98063 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Zuckerberg San Francisco General Hosp & Trauma CtrSan francisco, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City And County Of San Francisco1658280748265

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin Michael Li allows following entities to bill medicare on his behalf.
Entity NameSanta Rosa Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578631172
PECOS PAC ID: 0345130423
Enrollment ID: O20040319001444
Entity NameCity & County Of San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982737524
PECOS PAC ID: 1658280748
Enrollment ID: O20050309000770

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Michael Li is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Michael Li, MD
1300 N Dutton Ave,
Santa Rosa, CA 95401-7112

Ph: (707) 396-5151
Kevin Michael Li, MD
1300 N Dutton Ave,
Santa Rosa, CA 95401-7112

Ph: (707) 396-5151

Reviews and Comments


Family Medicine Doctors in Santa Rosa, CA

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Phone: 707-545-1554    Fax: 707-545-1595
Anthony K. Boyce, DO
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Phone: 707-571-4000    
Richard L. Holve, MD
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Phone: 707-571-4000    
Leo Arthur Smith, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405
Phone: 707-303-8360    Fax: 707-303-8361

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.