LI JIA (MD) – Emergency Medicine Physician, NPI 1255695482

LI JIA (MD) is a healthcare provider. based in Wichita, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 9407949 (KS). The NPI Number for LI JIA (MD) is 1255695482

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
LI JIA (MD)
NPI
1255695482
Phone
(316) 962-3030
Address
1010 N. KANSAS
Enumeration Date
3 July 2012
Last Update Date
12 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3162685000
Graduation Year
2012 (14 years ago)
PAC ID
4082864087
Group Practice PAC ID
3971814286
Professional Enrollment ID
I20160823001396
Address ID
KS672143821WI929XXSTXX508
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

452 EMERGENCY MEDICINE in KS

Provider Addresses for LI JIA (MD)

  • 1010 N. KANSAS

    WCGME

    WICHITA, KS 67214

    Phone: (316) 962-3030

    Mailing address matches the actual address.

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: 2021-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160823001396IEmergency MedicineKSTBD
I20210331002006IEmergency MedicineVITBD

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
99285Emergency department visit with high level of medical decision making278272$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only222203$0
99284Emergency department visit with moderate level of medical decision making111111$0
99291Critical care, first 30-74 minutes6260$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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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: 3971814286View full group profile
NameSpecialtyState
Emergency MedicineMO
-CA
-KS
Nurse PractitionerKS
Nurse PractitionerCA
Nurse PractitionerKS
Physician AssistantKS
-KS
Emergency MedicinePA
Nurse PractitionerKS

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Frequently asked questions

What is the 10-digit NPI for LI JIA (MD)?
LI JIA (MD) — NPI 1255695482 — is the standard way to identify this listing.
Is LI JIA (MD) still practicing?
LI JIA (MD) is currently listed as active in the public NPI registry.
What is LI JIA (MD) best known for clinically?
Directory data describes LI JIA (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LI JIA (MD)?
LI JIA (MD)'s geographic hint is Wichita, Kansas in our summary view.
Why does LI JIA (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.