NOAH LI (DO) – Psychiatry Physician, NPI 1194399626

NOAH LI (DO) is a healthcare provider. based in Kansas city, Missouri. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. OT020674 (PA). The NPI Number for NOAH LI (DO) is 1194399626

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NOAH LI (DO)
NPI
1194399626
Phone
(816) 453-6777
Address
211 NE 54th St Ste 201
Enumeration Date
19 May 2021
Last Update Date
7 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392082212
Graduation Year
2021 (5 years ago)
PAC ID
9335657899
Group Practice PAC ID
0941698070
Professional Enrollment ID
I20251103004138
Address ID
FL335430000WE3601XPLXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:5State licenses:4Digital endpointsOther names

819 PSYCHIATRY in MO

Provider Addresses for NOAH LI (DO)

  • 211 NE 54th St Ste 201

    Kansas City, MO 641184330

    Phone: (816) 453-6777

    Fax: (816) 454-3601

    Type: Location

  • 11215 Metro Pkwy Ste 1

    Fort Myers, FL 339661206

    Phone: (239) 208-2212

    Fax: (239) 208-3994

    Type: Location

  • 810 COBBLESTONE LN

    LANCASTER, PA 176013362

    Phone:

    Type: Mailing

  • 5515 PEACH ST

    ERIE, PA 165092603

    Phone: (814) 864-4031

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,045.

Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($235).

Total Amount

$1,045

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,045

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2026-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20250805002562IPsychiatryCATBD
I20251103004138IPsychiatryFLTBD
I20251217000160IPsychiatryIDTBD
I20260211002062IPsychiatryMOTBD

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 64118)

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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: 0941698070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YVA
P S Y C H I A T R YFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

What NPI should I save for NOAH LI (DO)?
Save NPI 1194399626 if you need a stable reference for NOAH LI (DO).
Is NOAH LI (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does NOAH LI (DO) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for NOAH LI (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for NOAH LI (DO)?
The page summarizes Kansas City, Missouri for NOAH LI (DO); expand the address list for detail.
What if Kansas City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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