Xiaodong Li, MD &PHD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Pasadena, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
314 Monterey Rd Unit 14, South Pasadena, California. You can reach out to his office (for appointments etc.) via phone at
(858) 461-0091.
Xiaodong Li is licensed to practice in California (license number 134409) 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 1265799530.
Physician's Profile
Full Name | Xiaodong Li |
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Gender | Male |
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Speciality | Pathology |
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Experience | 27 Years |
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Location | 314 Monterey Rd Unit 14, South Pasadena, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Xiaodong Li graduated from medical school in 1997
NPI Data:
- NPI Number: 1265799530
- Provider Enumeration Date: 04/11/2012
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062782402
- Enrollment ID: I20180710003093
Medical Identifiers
Medical identifiers for Xiaodong Li such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265799530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 134409 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Permanente Medical Group Inc | 8921910225 | 8376 |
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. Xiaodong Li allows following entities to bill medicare on his behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558311811 PECOS PAC ID: 1951201185 Enrollment ID: O20040112000598 |
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Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174662555 PECOS PAC ID: 8325131378 Enrollment ID: O20100513000487 |
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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. Xiaodong 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 Address | Practice Location Address |
Xiaodong Li, MD &PHD 314 Monterey Rd Unit 14, South Pasadena, CA 91030-3589 Ph: (858) 252-5177 | Xiaodong Li, MD &PHD 314 Monterey Rd Unit 14, South Pasadena, CA 91030 Ph: (858) 461-0091 |
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