Organization Active NPI

Delong Liu,M.D.& Min Xu,M.D.,P.C.

Doing business as Kati Medical Group

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1144235011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203518 Issued in NY
Legal business name
DELONG LIU,M.D.& MIN XU,M.D.,P.C.
Doing business as
Kati Medical Group
Practice address
8708 Justice Ave Apt 2G
Elmhurst, NY 11373-4576
Phone
(718) 651-5792
Fax
(718) 651-5793
NPI assigned
Jul 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Min Xu, M.D.NPI 1013948314
Title
M.D.
Phone
(718) 651-5792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203518 NY Primary

Addresses

Primary practice location

8708 Justice Ave Apt 2G
Elmhurst, NY 11373-4576

Mailing address

8708 Justice Ave Apt 2G
Elmhurst, NY 11373-4576
Phone (718) 651-5792

Other names 1

  • Kati Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060911000182 NY Part B Supplier - Clinic/Group Practice 2860496668 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144235011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 2G",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734576",
            "telephone_number": "718-651-5792",
            "fax_number": "718-651-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 2G",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734576",
            "telephone_number": "718-651-5792",
            "fax_number": "718-651-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELONG LIU,M.D.& MIN XU,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-651-5792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kati Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.