Individual provider Active NPI

Min Li Xu, M.D.

  • Vascular Surgery Physician
  • Deland, FL
National Provider Identifier
1083030977
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME141766 Issued in FL
Practice address
999 N Stone St
Deland, FL 32720-0800
Phone
(386) 943-3018
NPI assigned
Mar 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME141766 FL Primary

Addresses

Primary practice location

999 N Stone St
Deland, FL 32720-0800

Mailing address

PO Box 935921
Atlanta, GA 31193-5921

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address minli.xu@braverahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 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
I20190819000850 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 7810232089 Reassigns benefits to 1 organization
I20200811001802 VA Practitioner - General Surgery 7810232089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522

Hospital & facility affiliations

  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141766FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Associates LTD CurrentSince Jan 3, 2022 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Aug 10, 2024 Accepting new patients
Dominion Health Medical Assoc CurrentSince Jan 3, 2022 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Aug 10, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc Surgery CurrentSince Aug 10, 2024 Accepting new patients

Locations

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

999 N Stone St
Ste B
Deland, FL 32720
Phone (386) 740-4015

1061 Medical Center Dr
Ste 300
Orange City, FL 32763
Phone (386) 427-9554

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

2232 Wilborn Ave
Ste C
South Boston, VA 24592
Phone (434) 517-3910

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mxu3407112@adventhealth.direct-ci.com

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.

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": "1394841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1083030977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935921",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200800",
            "telephone_number": "386-943-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "MIN LI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-15",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME141766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "minli.xu@braverahealth.com",
            "affiliation": "N",
            "address_1": "100 Woods Rd",
            "city": "Valhalla",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105951530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.