LI TAO (M.D.) – Internal Medicine Physician, NPI 1063832483

LI TAO (M.D.) is a healthcare provider. based in Modesto, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 137555 (CA). The NPI Number for LI TAO (M.D.) is 1063832483

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
LI TAO (M.D.)
NPI
1063832483
Phone
(209) 579-5628
Address
1441 FLORIDA AVE
Enumeration Date
24 April 2014
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2095763525
Graduation Year
2014 (12 years ago)
PAC ID
8527326446
Group Practice PAC ID
2567360027
Professional Enrollment ID
I20171226001974
Address ID
CA953504404MO1441XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

Provider Addresses for LI TAO (M.D.)

  • 1441 FLORIDA AVE

    MODESTO, CA 953504404

    Phone: (209) 579-5628

    Type: Location

  • 1441 Florida Ave

    Modesto, CA 953504404

    Phone: (209) 579-5628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($133).

Total Amount

$336

General + Research + Ownership

Payments

17

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171226001974IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes307145$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes194121$0
99239Hospital discharge day management, more than 30 minutes120118$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4929$0
View full utilization report →

Insurance plans in this area (ZIP 95350)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567360027View full group profile
NameSpecialtyState
Family PracticeCA
Family PracticeIL
Family PracticeCA
Internal Medicine, Hospitalist, Internal MedicineCA
Internal MedicineCA
Internal MedicineNY
Internal MedicineRI
Internal MedicineCA
-CA
Internal MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to LI TAO (M.D.)?
The federal identifier for LI TAO (M.D.) is NPI 1063832483.
Is LI TAO (M.D.)'s NPI currently valid?
The extract we use shows LI TAO (M.D.) as active.
What does LI TAO (M.D.) treat or focus on?
Patients typically see LI TAO (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for LI TAO (M.D.)?
We surface Modesto, California for LI TAO (M.D.) based on available NPPES addresses.
Is LI TAO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1063832483. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

SUHAIL RAHHAL (MD)

Internal Medicine Physician
Doctors Medical Center, 1441, Florida Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States
NPI: 1326044876

DR. CHRISTINE G TAZEWELL (MD)

Internal Medicine Physician
Modesto Perinatal Med Associates, 1524, McHenry Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1689661811

HUMAYUN ABBAS (MD)

Internal Medicine Physician
1541, Florida Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States
NPI: 1336136548

MARIA GO (MD)

Internal Medicine Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1922095132

PRITHVI NAMBALAT SHANKAR (MD)

Internal Medicine Physician
400, East Orangeburg Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1790772838

GARTH B TANNER (MD)

Internal Medicine Physician
Modesto Post Office, 715, Kearney Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1184612624

JAMES WARREN BOOZER (MD)

Internal Medicine Physician
1541, Florida Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States
NPI: 1427046986

BARBARA KENNEDY-FUNTILA (MD)

Internal Medicine Physician
1541, Florida Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States
NPI: 1700874260

JOCELYN R RAMOSO (MD)

Hospitalist Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1508857590