Shin Xu, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

T7775 Issued in TX

Practice address

403 Ogletree Dr Ste 100
Livingston, TX 77351-9444

Phone

(936) 755-3238

Fax

(936) 755-3249

NPI assigned

May 9, 2016

Sex

Male

Sole proprietor

No

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 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

Specialty

Orthopedic Surgery

Education

University of Alabama School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Specialist Center PLLCGroup PAC ID 2163557026, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dedicated Home Health Home health agency, Lufkin, TX, CCN 457702
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Liberty County Hospital District No 1

  • Skilled Nursing Facility
  • Livingston, TX
  • NPI 1053316331

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• US Carenet Holdings, LLC

  • Home Health Agency
  • Lufkin, TX
  • NPI 1295713709

  5% Or Greater Indirect Ownership Interest

  CMS ownership

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.

• Texas Specialist Center, PLLC

  • Orthopaedic Surgery Physician
  • Lufkin, TX
  • NPI 1689902231
  Medicare reassignment Care Compare group NPD

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

• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• US Carenet Holdings, LLC

  • Home Health Agency
  • Lufkin, TX
  • NPI 1295713709
  Care Compare affiliation

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1194171264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-755-3238",
            "fax_number": "936-755-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-755-3238",
            "fax_number": "936-755-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "SHIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "T7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womans Clinic at Livingston PLLC
• Jerry D Wood, MD
• Daphne Woods
• Kyle Scott Workman, D.C.
• Lorna Wright, LMSW
• Karon Young-Lightbody, MD
• Robert Jeffery Young, RPH
• Your Urgent Care of Texas-Livingston LLC
• Reyna Yu, NP-BC
• Lori Zenquis

• Orthopaedic Surgery Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.