DR. ELTON YICHAO LI (MD) – Family Medicine Physician, NPI 1144844564
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. ELTON YICHAO LI (MD)
PO BOX 902
NORTHVILLE, MI 481670902
Phone: (731) 358-6654
Fax: (423) 225-8189
Type: Mailing
102 N. SUPERIOR AVENUE
BARAGA, MI 49908
Phone: (906) 353-8700
Type: Location
16005 Pine Valley Dr
Northville, MI 481684818
Phone: (731) 358-6654
Fax: (423) 225-8189
Type: Location
310 N 7 Hills Rd Ste 220
O Fallon, IL 622694111
Phone: (618) 624-6181
Type: Location
22250 PROVIDENCE DRIVE
SUITE #557
SOUTHFIELD, MI 480754818
Phone: (248) 849-3447
Fax: (248) 849-8120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($22).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $22 |
| Merck Sharp & Dohme LLC | $21 |
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: 2026-02-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250515001601 | I | Family Practice | IL | TBD |
| I20260227002872 | I | Family Practice | CT | 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 48167)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| - | CT | |
| Nurse Practitioner | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | CT | |
| Physician Assistant | CT | |
| Certified Nurse Midwife (Cnm) | CT |
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