Individual provider Active NPI

Keliang Xiao, MD

  • Plastic Surgery Physician
  • Modesto, CA
National Provider Identifier
1043672629
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
390200000 Issued in KS
Practice address
1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone
(209) 577-3388
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 390200000 KS Primary

Addresses

Primary practice location

1541 Florida Ave Ste 103
Modesto, CA 95350-4438

Mailing address

1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone (209) 577-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711002942 CA Practitioner - Plastic and Reconstructive Surgery 3274829817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1541 Florida Ave
Suite 103
Modesto, CA 95350-4438
Phone (209) 577-3388

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000KSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Mar 29, 2022 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Mar 29, 2022 Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101

1541 Florida Ave
Ste 103
Modesto, CA 95350
Phone (209) 572-1200

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kxiao641829@hisp.ehr.sutterhealth.org
  • Direct secure messaging: keliang.xiao.1@14035.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1043672629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "KELIANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "390200000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.