DR. ELTON YICHAO LI (MD) – Family Medicine Physician, NPI 1144844564

DR. ELTON YICHAO LI (MD) is a healthcare provider. based in Northville, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301510061 (MI). The NPI Number for DR. ELTON YICHAO LI (MD) is 1144844564

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELTON YICHAO LI (MD)
NPI
1144844564
Phone
(731) 358-6654
Address
PO BOX 902
Enumeration Date
1 June 2020
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2035763885
Graduation Year
2023 (3 years ago)
PAC ID
9830511252
Group Practice PAC ID
9335051580
Professional Enrollment ID
I20260227002872
Address ID
CT066082409BR471XXAVEX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:6State licenses:3Other names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250515001601IFamily PracticeILTBD
I20260227002872IFamily PracticeCTTBD

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.

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

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: 9335051580View full group profile
NameSpecialtyState
-CT
-CT
-CT
O B S T E T R I C S/ G Y N E C O L O G YCT
-CT
Nurse PractitionerMD
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineCT
Physician AssistantCT
Certified Nurse Midwife (Cnm)CT

Reviews

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Frequently asked questions

Can I cross-check DR. ELTON YICHAO LI (MD) using NPI 1144844564?
NPI 1144844564 belongs to DR. ELTON YICHAO LI (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. ELTON YICHAO LI (MD)?
You should see DR. ELTON YICHAO LI (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. ELTON YICHAO LI (MD)?
At a glance, DR. ELTON YICHAO LI (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ELTON YICHAO LI (MD) located near Northville?
DR. ELTON YICHAO LI (MD) currently maps to Northville, Michigan in this extract.
Does DR. ELTON YICHAO LI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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