BETTY LI (MD) – Internal Medicine Physician, NPI 1083144133

BETTY LI (MD) is a healthcare provider. based in Cumming, Georgia. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 95569 (GA). The NPI Number for BETTY LI (MD) is 1083144133

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BETTY LI (MD)
NPI
1083144133
Phone
(404) 446-0600
Address
4150 DEPUTY BILL CANTRELL MEMORIAL RD. SUITE 290
Enumeration Date
12 June 2017
Last Update Date
24 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4044400600
Graduation Year
2017 (9 years ago)
PAC ID
6709155518
Group Practice PAC ID
6204136583
Professional Enrollment ID
I20230727001797
Address ID
GA300407135CU4150XRDXX601
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

525 GASTROENTEROLOGY in GA

Provider Addresses for BETTY LI (MD)

  • 4150 DEPUTY BILL CANTRELL MEMORIAL RD. SUITE 290

    CUMMING, GA 30040

    Phone: (404) 446-0600

    Fax: (404) 446-0601

    Type: Location

  • Rotary Circle, Indianapolis, Marion, Indiana, 46202-5816, United States

    INDIANAPOLIS, IN 462025133

    Phone: (317) 278-4427

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,629.

Total Amount is formed as General ($1,629) + Research ($0) + Ownership ($0) = $1,629.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($715).

Total Amount

$1,629

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-07-27

PECOS data refreshed: 2026-05-27

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
I20230727001797IGastroenterologyGATBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2626$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2222$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 30040)

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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: 6204136583View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YGA
-GA
Gastroenterology, Internal MedicineGA
Internal Medicine, GastroenterologyGA
P A T H O L O G YUT
G A S T R O E N T E R O L O G YGA

Reviews

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Frequently asked questions

What is the registry number for BETTY LI (MD)?
The registry entry for BETTY LI (MD) shows NPI 1083144133.
Does the public listing show BETTY LI (MD) as active?
BETTY LI (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits BETTY LI (MD)?
NPPES ties BETTY LI (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit BETTY LI (MD) in Cumming, Georgia?
For routing, start with Cumming, Georgia for BETTY LI (MD), then verify phone and hours locally.
Who maintains BETTY LI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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