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Li Li, MD

Internal Medicine · San Jose

NPI 1528355120

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
10
3 carriers
Office
1
Since medical school
31 years
Graduated 1995

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

10 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Li’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

10 of 10 plans

Plans whose provider directory lists this clinician
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A145066 · Current

Licensed to practise in California · since 2016 · expires 2028-08-31 · Anhwei Medical College Aka Anhui Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Hematology
  • American Board of Internal Medicine - Medical Oncology

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$11,007

Medicare paid this office $11,007 for 67 people. Most of that is long return visits and Botox.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Long return visit (40+ min)15$3,022$126
Return visit (30+ min)24$2,270$67

Who their Medicare patients are

67 Original Medicare patients in 2024. Average age 72 · Women 55% · Also on Medicaid 76% · Health risk score 2.01. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Cancer 54% · Diabetes 49% · Chronic kidney disease 30% · Coronary heart disease 24% · Depression 24% · Heart failure 22% · Atrial fibrillation 19%.

The office billed $100,746, Medicare allowed $14,993 and paid $11,007; for 114 services of 12 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202467114722.01$100,746$11,007
202366151722.31$104,688$13,277
202280169722.39$95,582$13,940
202170174722.04$73,106$13,911
2020218906702.79$296,808$91,750
20192481,113702.57$347,905$128,971
2018207705712.20$229,873$77,598
201768142681.97$48,764$15,383

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Long return visit (40+ min)11$3,059$127
Return visit (30+ min)24$2,789$73
Short return visit (20+ min)12$976$54

2022: 6 services

Original Medicare services billed in 2022
Long return visit (40+ min)17$2,749$125
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,482$146
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$2,007$106
Return visit (30+ min)14$1,450$85
Telephone medical discussion with physician, 5-10 minutes26$1,351$28
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,239$77

2021: 5 services

Original Medicare services billed in 2021
Telephone medical discussion with physician, 21-30 minutes28$4,956$94
Long return visit (40+ min)16$2,202$138
Telephone medical discussion with physician, 5-10 minutes28$2,122$34
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,573$143
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,319$88

2020: 11 services

Original Medicare services billed in 2020
Long return visit (40+ min)71$48,109$113
Return visit (30+ min)76$18,858$86
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes36$5,356$82
New patient visit (60+ min)29$4,648$160
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,209$168
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes35$3,737$107
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a20$3,136$157
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,245$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$970$57
Short return visit (20+ min)17$968$48
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic17$241$11

2019: 9 services

Original Medicare services billed in 2019
Long return visit (40+ min)95$55,509$114
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a40$36,221$157
Return visit (30+ min)71$10,615$85
New patient visit (60+ min)38$6,295$166
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes46$5,925$85
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes58$5,630$94
Initial hospital care with moderate level of medical decision making at least 75 minutes30$4,799$160
Short return visit (20+ min)17$1,289$50
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$901$64

2018: 9 services

Original Medicare services billed in 2018
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a25$20,698$157
Long return visit (40+ min)53$15,165$89
Long return visit (40+ min)40$11,770$118
Initial hospital care with moderate level of medical decision making at least 75 minutes48$8,523$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$4,892$84
Return visit (30+ min)49$4,747$62
New patient visit (60+ min)29$3,553$123
Return visit (30+ min)23$2,564$88
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,875$110

2017: 5 services

Original Medicare services billed in 2017
Long return visit (40+ min)17$3,333$90
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,955$164
New patient visit (60+ min)21$2,864$136
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,692$85
Return visit (30+ min)17$1,148$64

Medicaid work

$4,776 in 2024

Medicaid paid $4,776 for 535 billed services this clinician did in 2024, up to 34 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Long return visit (40+ min)185$2,792
Return visit (30+ min)64$1,984
Medication list documented in medical record (COA)201$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)32$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)53$0
Medicaid work by year
2024535534$4,776
2023194319$1,786
2022265322$3,654
2021186219$3,341
202015113$380
201999216$3,199
201866314$1,267
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Long return visit (40+ min)131$1,527
Return visit (30+ min)50$259
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)13$0

2022

Largest Medicaid services in 2022
Long return visit (40+ min)130$2,164
Return visit (30+ min)110$1,269
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count25$221

2021

Largest Medicaid services in 2021
Return visit (30+ min)124$2,177
Long return visit (40+ min)62$1,163

2020

Largest Medicaid services in 2020
Return visit (30+ min)15$380

2019

Largest Medicaid services in 2019
Long return visit (40+ min)75$2,485
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES24$714

2018

Largest Medicaid services in 2018
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES28$845
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES23$421
Hospital outpatient clinic visit for assessment and management of a patient15$0

Drugs they prescribed that Part D paid

$1,603,678

Pharmacies billed $1,603,678 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 274) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

131 generic and 143 brand-name prescriptions · $1,603,678 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Tagrisso33$528,679$16,021
Kisqali25$320,818$12,833
Xtandi23$315,863$13,733
Krazati11$232,503$21,137
Verzenio12$154,517$12,876
See all 10 drugs
Every Part D drug this clinician prescribed
Tagrisso33$528,679$16,021
Kisqali25$320,818$12,833
Xtandi23$315,863$13,733
Krazati11$232,503$21,137
Verzenio12$154,517$12,876
Orgovyx11$25,730$2,339
Letrozole28$498$18
Anastrozole15$192$13
Loperamide17$175$10
Gabapentin24$98$4

Year by year

Part D prescribing by year
2024274360% (0)52%$1,603,678
202320529None45%$1,056,131
202216432None27%$513,050
202115536None15%$206,138
2020597726% (37)24%$1,347,155
2019416817% (27)28%$1,211,609
20182325310% (23)24%$650,286
20174513NoneNone$78,519
201414522None18%$6,677
2013176260% (0)21%$8,465

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Tagrisso38$636,987$16,763
Orgovyx13$35,219$2,709
Letrozole23$1,017$44
Anastrozole14$645$46
Loperamide14$183$13

2022: 4 drugs

Part D drugs prescribed in 2022
Tagrisso27$439,894$16,292
Letrozole25$782$31
Ondansetron17$351$21
Prochlorperazine Maleate11$235$21

2021: 5 drugs

Part D drugs prescribed in 2021
Aprepitant15$7,143$476
Letrozole11$658$60
Prochlorperazine Maleate22$259$12
Dexamethasone18$187$10
Ondansetron17$112$7

2020: 15 drugs

Part D drugs prescribed in 2020
Mekinist20$250,461$12,523
Tagrisso15$223,417$14,894
Tafinlar20$209,387$10,469
Ibrance13$158,582$12,199
Everolimus13$158,372$12,182
Eliquis14$6,875$491
Potassium Chloride28$1,564$56
Prochlorperazine Maleate67$962$14
Ondansetron70$875$13
Ondansetron Odt16$768$48
Dexamethasone47$620$13
Hydrocodone-Acetaminophen26$523$20
Mirtazapine35$275$8
Pantoprazole25$200$8
Furosemide13$44$3

2019: 11 drugs

Part D drugs prescribed in 2019
Tagrisso29$438,327$15,115
Afinitor12$195,717$16,310
Mekinist14$160,916$11,494
Tafinlar14$150,025$10,716
Ibrance12$139,413$11,618
Ondansetron67$890$13
Prochlorperazine Maleate57$617$11
Dexamethasone20$384$19
Potassium Chloride16$342$21
Hydrocodone-Acetaminophen15$299$20
Mirtazapine18$246$14

2018: 6 drugs

Part D drugs prescribed in 2018
Tagrisso14$215,342$15,382
Ondansetron42$637$15
Prochlorperazine Maleate48$456$10
Morphine Sulfate Er12$304$25
Potassium Chloride11$167$15
Dexamethasone11$162$15

2014: 1 drug

Part D drugs prescribed in 2014
Glipizide14$42$3

2013: 4 drugs

Part D drugs prescribed in 2013
Januvia11$2,844$259
Simvastatin11$105$10
Enalapril Maleate16$98$6
Amlodipine Besylate12$74$6

Money from drug and device companies

$66 in 2025

Industry payments by year
202511None$66
202122None$40
202034None$64
2019712None$483

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AstraZeneca Pharmaceuticals LPNone$66
1 payment
  • Meals · 2025-04-25 · $66
See the published payment
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2025-04-25None$66
See earlier years (2021, 2020, 2019)

2021: $40

Payments by company in 2021
GlaxoSmithKlineBlenrep$29
1 payment
  • Meals for Blenrep · 2021-10-21 · $29
Gilead SciencesNone$12
1 payment
  • Education · 2021-06-01 · $12

2020: $64

Payments by company in 2020
E.R. Squibb & Sons L.L.C.Opdivo$26
2 payments
  • Meals for Opdivo · 2020-11-10 · $14
  • Meals for Opdivo · 2020-11-10 · $12
GlaxoSmithKlineZejula$21
1 payment
  • Meals for Zejula · 2020-01-21 · $21
Genentech USATecentriq$18
1 payment
  • Meals for Tecentriq · 2020-02-25 · $18

2019: $483

Payments by company in 2019
Astellas Pharma USNone$183
2 payments
  • Education · 2019-07-10 · $85
  • Education · 2019-06-12 · $98
EisaiLenvima$155
4 payments
  • Meals for Lenvima · 2019-12-19 · $8
  • Meals for Lenvima · 2019-05-31 · $136
  • Meals for Lenvima · 2019-02-28 · $1
  • Meals for Lenvima · 2019-02-20 · $11
Octapharma USAWilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human)$63
1 payment
  • Meals for Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human) · 2019-07-01 · $63
Merck Sharp & DohmeKeytruda$35
2 payments
  • Meals for Keytruda · 2019-06-13 · $18
  • Meals for Keytruda · 2019-05-28 · $17
E.R. Squibb & Sons L.L.C.Opdivo$17
1 payment
  • Meals for Opdivo · 2019-08-06 · $17
Genentech USATecentriq$17
1 payment
  • Meals for Tecentriq · 2019-07-03 · $17
Gilead SciencesNone$13
1 payment
  • Meals · 2019-04-09 · $13

Professional record

NPI
1528355120
Licence
CA A145066California A145066: Current · expires 2028-08-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RH0003X (207RH0003X); Internal medicine (207R00000X)
Mailing address
2625 E Divisadero St, Fresno, CA, 93721
NPI first listed
2011-07-02
NPI last updated
2020-01-15
NPI record certified
2020-01-15

This is when the NPI record was last certified, not a medical board exam.