MITCHELL LOUIS JUDGE LI (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1932442464
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for MITCHELL LOUIS JUDGE LI (MD)
1000 Health Center Dr
Mattoon, IL 619384644
Phone: (217) 258-2581
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4917
Type: Location
2661 County Highway I
Chippewa Falls, WI 547295407
Phone: (715) 723-1811
Type: Location
900 W Clairemont Ave
Eau Claire, WI 547016122
Phone: (715) 714-4121
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0524
Type: Location
405 W Jackson St
Carbondale, IL 629011467
Phone: (618) 549-0721
Fax: (618) 457-0469
Type: Location
100 Dr Warren Tuttle Dr
Harrisburg, IL 629462718
Phone: (618) 253-0350
Fax: (618) 252-2425
Type: Location
420 E DIVISION ST
FOND DU LAC, WI 549354560
Phone: (920) 926-4600
Fax: (920) 926-4869
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190517000940 | I | Emergency Medicine | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61938)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Family Practice | IL | |
| - | IL | |
| Hospitalist, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| Physician Assistant | IL | |
| Family Practice, Emergency Medicine | IL |
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