NPIMap

Individual provider Active NPI

Gary S Xiao, MD

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1043354616
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD426406 Issued in PA
Practice address
216 N Broad St
5TH FL
Philadelphia, PA 19102-1121
Phone
(215) 762-3900
Fax
(215) 762-3846
NPI assigned
Feb 16, 2007
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X MD426406 PA
Surgery Physician 208600000X MD426406 PA Primary

Addresses

Primary practice location

216 N Broad St
5TH FL
Philadelphia, PA 19102-1121

Mailing address

230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 255-3828

Other identifiers 1

IdentifierTypeStateIssuer
101877007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000530 PA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Vascular SurgeryPractitioner - Critical Care (Intensivists) 3870692262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Critical Care (Intensivists), Vascular Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Suite 380
West Reading, PA 19611-1410
Phone (484) 628-7900

420 S 5TH Ave
West Reading, PA 19611-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Sep 16, 2019 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince Sep 16, 2019 Accepting new patients
Tower Health Medical Group Surgery CurrentSince Aug 26, 2019 Accepting new patients
Tower Health Medical Group Transplant Surgery CurrentSince Aug 26, 2019 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group Past Accepting new patients
Reading Hospital Surgery Past Accepting new patients

Locations

315 Darby Sq
Elverson, PA 19520
Phone (610) 898-5240

219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

301 S 7th Ave
Ste 305
West Reading, PA 19611
Phone (610) 374-7720

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 3070
West Reading, PA 19611
Phone (610) 375-4381

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1043354616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-255-3828",
            "fax_number": "215-255-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N BROAD ST",
            "address_2": "5TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-3900",
            "fax_number": "215-762-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "GARY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "PA",
            "license": "MD426406",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD426406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101877007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.