Individual provider Active NPI

Shaun Xiao, DO

  • Hematology & Oncology Physician
  • Slidell, LA
National Provider Identifier
1063726206
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
308609 Issued in LA
Practice address
1120 Robert Blvd
Slidell, LA 70458-2068
Phone
(985) 639-3777
Fax
(985) 639-3708
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101018683 MI
Internal Medicine Physician 207R00000X 5101018683 MI
Hematology & Oncology Physician 207RH0003X 308609 LA Primary

Addresses

Primary practice location

1120 Robert Blvd
Slidell, LA 70458-2068

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180914001170 LA Practitioner - Hematology/Oncology 0345476388 Reassigns benefits to 1 organization
I20210527002250 MS Practitioner - Hematology/Oncology 0345476388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

1203 S Tyler St
Ochsner Specialty Health Center Northshor
Covington, LA 70433-2353
Phone (985) 875-2828

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018683MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 29, 2018 Accepting new patients
Ochsner Clinic LLC Emergency Medicine CurrentSince Jul 29, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Mississippi, LLC Internal Medicine Current Accepting new patients
Ochsner Mississippi, LLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Ochsner Pharmacy and Wellness, LLC Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

71380 Highway 21
Covington, LA 70433
Phone (985) 661-3534

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

1203 S Tyler St
Ste 220
Covington, LA 70433
Phone (985) 875-2769

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1120 Robert Blvd
Slidell, LA 70458
Phone (985) 280-6600

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1120 Robert Blvd
Ste 330
Slidell, LA 70458
Phone (985) 280-8585

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Interoperability endpoints

  • Direct secure messaging: sxiao565108@direct.ochsner.org

Organizations & group practices 7

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 7

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1063726206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582068",
            "telephone_number": "985-639-3777",
            "fax_number": "985-639-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "SHAUN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101018683",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018683",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "308609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.