Mingxu Xu, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

260294 Issued in NY

Practice address

47 Peacock Dr
Roslyn, NY 11576-2522

Phone

(602) 710-6834

NPI assigned

Feb 22, 2011

Last updated

Mar 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Quality Rehab Medical PLLC

  • Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1831455963
  Medicare reassignment NPD Authorized official
• Dr. Xu S Comprehensive Medical PLLC

  • Physical Disabilities Residential Treatment Facility
  • Flushing, NY
  • NPI 1427313170
  Medicare reassignment Authorized official
• Hana Ilan MD PC

  • Physical Medicine & Rehabilitation Physician
  • Cedarhurst, NY
  • NPI 1811935083
  NPD (past)
• Ym Acupuncture P.C.

  • Acupuncturist
  • Flushing, NY
  • NPI 1477918845
  NPD (past)

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1174820476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PEACOCK DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PEACOCK DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762522",
            "telephone_number": "602-710-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "MINGXU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-22",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "260294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexxa Ryan Brett Wolpoff Tischler, PHD
• Joseph William Woo, M.D.
• Brian Daniel Woods, MD
• Michelle Worrell
• San San Wynn, M.D.
• Mena Yacoub, D.O
• Deborah Yadegari, CLC, JD
• Aileen Yaeger
• Megan Elizabeth Yaeger
• Herman Lee Yang, M.D.

• Physical Medicine & Rehabilitation Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.

Verify at the official NPI Registry.