Xiao-Tian Austin, MD
Individual provider Active NPI Diagnostic Radiology Physician · Normal, IL
NPI 1174583744 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1174583744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036.123730 (IL)
- Practice address
- 1300 Franklin Ave
Normal, IL 61761-3592 - Phone
- (309) 454-1400
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Carle Health Care Incorporated
Carle West Physician Group Inc
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
- Carle Bromenn Medical Center
- Carle Eureka Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090831000249 | IL | Practitioner - Diagnostic Radiology | 6800809732 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.123730 | IL | MD | Diagnostic Radiology Physician |
| PENDING | RI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Carle Health Care Incorporated | 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) 268-3502
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
Phone (815) 971-5510
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | PENDING | RI | |
| Diagnostic Radiology Physician | 2085R0202X | 036.123730 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.123730 | Other | IL | STATE LICENSE |
| 036123730 | Medicaid | IL |
Other names
- Xiao-Tian Wang
Other providers in Normal, IL
- Winifred Devoe Ashford
- Aspire Speech, Language and Listening Therapy, PLLC
- Mary Aubry
- Verna L Auge
- Ausome Foundation
- Kacey Ayres
- Jara Bachtold
- Back to Health of B/N, Inc
- Juan Fabien Baez
- Geraldine B Baird
All providers in Normal, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.