Active NPI
Edward Enzhong Xie, M.D.
- Emergency Medicine Physician
- Shelby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.093225
- Practice address
- 199 W Main St
Shelby, OH 44875-1490 - Phone
- (419) 342-1730
- NPI assigned
- Jun 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.093225 | OH | |
| Emergency Medicine Physician | 207P00000X | 35.093225 | OH | Primary |
Addresses
Primary practice location
199 W Main St
Shelby, OH 44875-1490
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810026091 | Medicaid | WV | |
| 2949386 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
199 W Main St
Shelby, OH 44875-1490
Phone (419) 342-5015
Hospital & facility affiliations
- Ohiohealth Shelby Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 84.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Valley Emergency Physicians Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Adena Medical Group LLC | Family Medicine | Past | Accepting new patients |
| Georgetown Emergency Group PC Inc. | Emergency Medicine | Past | Accepting new patients |
| Harrison Lake Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
425 Home St
Georgetown, OH 45121
Phone (937) 378-6121
1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000
199 W Main St
Shelby, OH 44875
Phone (419) 342-5015
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1881164010
-
- Emergency Medicine Physician
- Ironton, OH
- NPI 1528342961
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- Emergency Medicine Physician
- Georgetown, OH
- NPI 1720330541
-
- Emergency Medicine Physician
- Bryan, OH
- NPI 1467792325
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mansfield, OH
- NPI 1487706016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1063672863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 W MAIN ST",
"city": "SHELBY",
"state": "OH",
"postal_code": "448751490",
"telephone_number": "419-342-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIE",
"first_name": "EDWARD",
"middle_name": "ENZHONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-15",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.093225",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.093225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810026091",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2949386",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.