Active NPI
Xiao-Tian Austin, MD
- Diagnostic Radiology Physician
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036.123730
- Practice address
- 1300 Franklin Ave
Normal, IL 61761-3592 - Phone
- (309) 454-1400
- NPI assigned
- Mar 27, 2006
- Last updated
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | PENDING | RI | |
| Diagnostic Radiology Physician | 2085R0202X | 036.123730 | IL | Primary |
Addresses
Primary practice location
1300 Franklin Ave
Normal, IL 61761-3592
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
2200 Fort Jesse Rd
Ste. 280
Normal, IL 61761-6286
Phone (309) 452-1788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036123730 | Medicaid | IL | |
| 036.123730 | Other | IL | STATE LICENSE |
Other names 1
- Xiao-Tian Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Icahn School of Medicine at Mount Sinai, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 S Major St
Eureka, IL 61530-1246
Phone (309) 304-2128
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
3024 E Empire St
Bloomington, IL 61704-5402
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.123730 | IL | MD | Diagnostic Radiology Physician |
| PENDING | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current | Accepting new patients | |
| X-Ray Associates, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1300 Franklin Ave
Normal, IL 61761
Phone (309) 268-2560
2200 Fort Jesse Rd
Ste 280
Normal, IL 61761
Phone (800) 755-9195
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
2300 N Rockton Ave
Rockford, IL 61103
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- xiao-tianaustin@jph.medalliesdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Rural Health Clinic/Center
- West Salem, IL
- NPI 1922475037
-
dba XRA Medical Imaging
- Diagnostic Radiology Physician
- Cranston, RI
- NPI 1326070244
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba Advocate Eureka Hospital
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1174583744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 FRANKLIN AVE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613592",
"telephone_number": "309-454-1400"
}
],
"practiceLocations": [
{
"address_1": "2200 Fort Jesse Rd",
"address_2": "Ste. 280",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617616286",
"country_code": "US",
"telephone_number": "309-452-1788",
"fax_number": "309-862-1302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "XIAO-TIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "PENDING",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.123730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036123730",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036.123730",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "XIAO-TIAN",
"last_name": "WANG",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.