Xiaohui Fan, MD
Individual provider Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Farmington, MO
NPI 1245276252 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1245276252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- 2003013364 (MO)
- Practice address
- 618 Maple Valley Dr Ste B
Farmington, MO 63640-1976 - Phone
- (573) 756-3400
- Fax
- (573) 756-0800
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ste Genevieve County Memorial Hospital
Xiaohui'S Medical, LLC
Mercy Clinic Pain Management LLC
Practice addresses (Care Compare)
255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-9492
608 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-3400
618 Maple Valley Dr
Suite D
Farmington, MO 63640-1976
Phone (573) 756-3400
851 E 5TH St
Washington, MO 63090-3129
Hospital & facility affiliations
- Mercy Hospital Jefferson
- Ste Genevieve County Memorial Hospital
- Madison Medical Center
- Mercy Hospital Perry
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20031223000848 | MO | Practitioner - Pain Management |
8224936463 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003013364 | MO | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Jefferson | Current |
Accepting new patients | |
| Mercy Hospital Jefferson | Current |
Accepting new patients | |
| Ste. Genevieve County Memorial Hospital | Current |
Accepting new patients | |
| Xiaohui'S Medical, LLC | Pain Medicine | Current |
Accepting new patients |
| Ste Genevieve County Memorial Hospital | Current |
Accepting new patients | |
| Mercy Clinic Pain Management, LLC | Current |
Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current |
Accepting new patients | |
| Mineral Area Pain Center, P.C. | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Midwest Imaging Center, LLC | Current |
Accepting new patients | |
| Abdul Naushad MD PC | Pain Medicine | Past | Accepting new patients |
| SSM Select Rehab St. Louis, LLC | Past | Accepting new patients | |
| Central Vermont Anesthesia Associates, Inc. | Past | Accepting new patients |
Locations
255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727
608 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-3400
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782
590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455
851 E 5th St
Ste 226
Washington, MO 63090
Phone (636) 239-8097
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- xiaohulmichaelfan@mhccaremail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2003013364 | MO | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 2003013364 | MO | Yes |
Addresses
Primary practice location
618 Maple Valley Dr Ste B
Farmington, MO 63640-1976
Mailing address
618 Maple Valley Dr Ste B
Farmington, MO 63640-1976
Phone (573) 756-3400
Other practice location 1
618 Maple Valley Dr Ste C
Farmington, MO 63640-1976
Phone (573) 705-3740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00702176 | Other | MO | MEDICARE RAILROAD |
| 646127 | Other | MO | HEALTHLINK |
| 209158609 | Medicaid | MO | |
| P00822140 | Other | MO | MEDICARE RAILROAD |
| 43152 | Other | MO | HCUSA |
Other providers in Farmington, MO
- Airika Etheridge
- Reshma Eugene
- Everside Health, LLC
- Deborah Ann Fajkowski
- Family Counseling Center, Inc.
- Farmington Assisted Living Center, LLC
- Farmington Clinic Company LLC
- Farmington Clinic Company LLC
- Farmington Clinic Company LLC
- Farmington Clinic Company LLC
All providers in Farmington, MO · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. 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.