Individual provider Active NPI

Jie Xu, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1154731305
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BP10050563 Issued in TX
Practice address
5925 Forest LN Ste 200
Dallas, TX 75230-2732
Phone
(469) 249-2667
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP10050563 TX Primary

Addresses

Primary practice location

5925 Forest LN Ste 200
Dallas, TX 75230-2732

Mailing address

5925 Forest LN Ste 200
Dallas, TX 75230-2732
Phone (469) 249-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170106001098 TX Practitioner - Psychiatry 9335420256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Opportunities for the People of East Texas, IncGroup PAC ID 2567360167, 17 clinicians

Practice addresses (Care Compare)

157 Wall St
Tenaha, TX 75974-5413
Phone (936) 248-4673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050563TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Solutions of Texas PA Psychiatry CurrentSince Mar 26, 2021 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health Opportunities for the People of East Texas, Inc. CurrentSince Dec 19, 2023 Accepting new patients
Health Opportunities for the People of East Texas Past Accepting new patients

Locations

304 Logansport St
Center, TX 75935
Phone (936) 591-8380

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

2710 Sunset Strip
Ste C
Greenville, TX 75402
Phone (844) 291-4525

157 Wall St
Tenaha, TX 75974
Phone (936) 248-4630

1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452

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.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1154731305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302732",
            "telephone_number": "469-249-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302732",
            "telephone_number": "469-249-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10050563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.