Active NPI
Xiaoling Wu, MD
- Internal Medicine Physician
- Chesterfield, MO
National Provider Identifier
1003899147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036099707
- Practice address
- 224 S Woods Mill Rd
Suite 370 South
Chesterfield, MO 63017-3451 - Phone
- (314) 878-2460
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036099707 | IL | Primary |
Addresses
Primary practice location
224 S Woods Mill Rd
Suite 370 South
Chesterfield, MO 63017-3451
Mailing address
224 S Woods Mill Rd
Suite 370 South
Chesterfield, MO 63017-3451
Phone (314) 878-2460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06099707 | Medicaid | IL | |
| 204638902 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 71.29 of 100
- Quality
- 22.92
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036099707 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Chesterfield, LLC | Internal Medicine | Current | Accepting new patients |
| Crestwood Health Care Center, L.L.C. | Past | Accepting new patients | |
| St. Lukes Medical Group | Internal Medicine | Past | Accepting new patients |
| Millennium Management & Consulting, Inc. | Past | Accepting new patients | |
| Manchester Operator LLC | Past | Accepting new patients | |
| Delmar Gardens of Chesterfield Operating, LLC | Past | Accepting new patients |
Locations
224 S Woods Mill Rd
Ste 370S
Chesterfield, MO 63017
Phone (314) 878-2460
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL PPO Downstate
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1265778138
-
- Nursing Facility/Intermediate Care Facility
- Florissant, MO
- NPI 1083882682
-
- Skilled Nursing Facility
- Chesterfield, MO
- NPI 1861487712
-
- Skilled Nursing Facility
- Ballwin, MO
- NPI 1730871765
-
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1912010109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1003899147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S WOODS MILL RD",
"address_2": "SUITE 370 SOUTH",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173451",
"telephone_number": "314-878-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S WOODS MILL RD",
"address_2": "SUITE 370 SOUTH",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173451",
"telephone_number": "314-878-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "XIAOLING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036099707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06099707",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204638902",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.