NPIMap

Individual provider Active NPI

Jimmy Xu, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1154778959
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
56541 Issued in KY
Practice address
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone
(502) 447-8786
Fax
(502) 447-8623
NPI assigned
May 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 01088292A IN
Vascular & Interventional Radiology Physician 2085R0204X 56541 KY
Vascular & Interventional Radiology Physician 2085R0204X 2018025916 MO
Diagnostic Radiology Physician 2085R0202X 56541 KY Primary

Addresses

Primary practice location

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Mailing address

9152 Taylorsville Rd # 276
Louisville, KY 40299-1752
Phone (502) 447-8786

Other identifiers 2

IdentifierTypeStateIssuer
7100812920MedicaidKY
300063511MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, MO, LA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220617001745 KY Practitioner - Diagnostic Radiology 4486033685 Reassigns benefits to 1 organization
I20220823000340 IN Practitioner - Interventional Radiology 4486033685 Reassigns benefits to 1 organization
I20230118000986 MO Practitioner - Diagnostic Radiology 4486033685 Reassigns benefits to 1 organization
I20260312003009 LA Practitioner - Diagnostic Radiology 4486033685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic X-Ray Physicians, PSCGroup PAC ID 1355239534, 36 clinicians
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (502) 447-8786

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1000

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.74

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56541KYMDDiagnostic Radiology Physician
01088292AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC CurrentSince Oct 14, 2022 Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Bluebonnet Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Northeast Imaging Center CurrentSince Jan 1, 2026 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Jan 1, 2026 Accepting new patients
River Bend Imaging LLC CurrentSince Jan 1, 2026 Accepting new patients
Central Imaging Center, LLC CurrentSince Dec 1, 2025 Accepting new patients
Advanced Imaging of Lafayette LLC CurrentSince Jan 1, 2026 Accepting new patients
Diagnostic X-Ray Physicians, PSC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Mary Bird Perkins Cancer Center Diagnostic Radiology CurrentSince Feb 10, 2026 Accepting new patients

Locations

2021 Mercy Way
Ste 102
Jeffersonville, IN 47130
Phone (812) 218-4630

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808

157 Towne Dr
Ste 101
Elizabethtown, KY 42701
Phone (270) 740-5201

5129 Dixie Hwy
Ste 100
Louisville, KY 40216
Phone (502) 447-3242

9344 Cedar Center Way
Louisville, KY 40291
Phone (502) 753-3390

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

3991 Dutchmans Ln
Ste 208
Louisville, KY 40207
Phone (502) 897-2440

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

9152 Taylorsville Rd
Louisville, KY 40299
Phone (502) 424-5635

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 12

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1154778959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9152 TAYLORSVILLE RD # 276",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991752",
            "telephone_number": "502-447-8786",
            "fax_number": "502-447-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-447-8786",
            "fax_number": "502-447-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01088292A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "56541",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2018025916",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "56541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100812920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300063511",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.