Individual provider Active NPI

Jin Xu, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1215990080
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61497115 Issued in WA
Practice address
224 Westlake Ave N Ste 100
Seattle, WA 98109-5260
Phone
(833) 411-5469
Fax
(855) 459-3020
NPI assigned
Apr 11, 2006
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61497115 WA Primary

Addresses

Primary practice location

224 Westlake Ave N Ste 100
Seattle, WA 98109-5260

Mailing address

11 Ingot Dr Ste 101
Blandon, PA 19510-9639
Phone (610) 944-8818

Other identifiers 4

IdentifierTypeStateIssuer
1309024OtherPABLUE SHIELD
7591692OtherPAAETNA
2002271000OtherPAKEYSTONE EAST
50038080OtherPABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040811000719 PA Practitioner - Family Practice 7315919149 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61497115WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Mar 1, 2019 Accepting new patients
600 Stewart Medical Group, P.C. CurrentSince Jun 30, 2022 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Mar 1, 2019 Accepting new patients

Locations

11 Ingot Dr
Blandon, PA 19510
Phone (610) 944-5555

11 Ingot Dr
Ste 101
Blandon, PA 19510

15050 Kutztown Rd
Kutztown, PA 19530
Phone (610) 683-5686

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

224 Westlake Ave N
Ste 100
Seattle, WA 98109
Phone (206) 690-5962

520 Denny Way
Seattle, WA 98109

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1215990080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INGOT DR STE 101",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109639",
            "telephone_number": "610-944-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WESTLAKE AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095260",
            "telephone_number": "833-411-5469",
            "fax_number": "855-459-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61497115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1309024",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7591692",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "2002271000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50038080",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.