JIAJUN LI (MD) – Anesthesiology Physician, NPI 1114504495
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
867 ANESTHESIOLOGY in OR
Provider Addresses for JIAJUN LI (MD)
PO BOX 7247
SPRINGFIELD, OR 974750011
Phone: (541) 681-5124
Type: Mailing
3333 RIVERBEND DR
SPRINGFIELD, OR 974778800
Phone: (541) 681-5124
Type: Location
14000 FIVAY RD
HUDSON, FL 346677103
Phone: (727) 819-2966
Fax: (727) 819-2928
Type: Location
5107 SW 155TH AVE
MIRAMAR, FL 330275626
Phone: (954) 330-6588
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: 2025-09-05
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 |
|---|---|---|---|---|
| I20250905002877 | I | Anesthesiology | OR | 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 97475)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| - | OR | |
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | OR | |
| - | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR |
Reviews
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