NPIMap

Individual provider Active NPI

Ling Xu, MD

  • Neurology Physician
  • Kettering, OH
National Provider Identifier
1255356069
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35088483 Issued in OH
Practice address
540 Lincoln Park Blvd Ste 200
Kettering, OH 45429
Phone
(937) 293-1117
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35088483 OH Primary

Addresses

Primary practice location

540 Lincoln Park Blvd Ste 200
Kettering, OH 45429

Mailing address

25 Merchant Street
Suite 220 - Attn: Credentialing
Cincinnati, OH 45246-3740
Phone (513) 533-1199

Other practice location 1

243 W Central Ave
Springboro, OH 45066-1103
Phone (937) 748-4814

Other identifiers 1

IdentifierTypeStateIssuer
2691529MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000412 OH Practitioner - Neurology 7810992641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1900 Composite Dr
Kettering, OH 45420-1475
Phone (937) 293-8419

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088483OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Integrated Medical Associates, LTD CurrentSince Sep 1, 2006 Accepting new patients
Premier Integrated Medical Assoc LTD Current Accepting new patients
Premier Integrated Medical Assoc LTD CurrentSince Sep 1, 2006 Accepting new patients
Premier Integrated Medical Assoc LTD Past Accepting new patients
Consultants in Neurology, PA Neurology PastSince Jul 16, 2001 Accepting new patients

Locations

25 Merchant St
Ste 220
Cincinnati, OH 45246

7271 N Main St
Ste 2
Dayton, OH 45415
Phone (937) 291-6809

1152 W 3rd St
Dayton, OH 45402
Phone (937) 268-3483

1152 W 3rd St
Ste 101
Dayton, OH 45402

200 Rockridge Rd
Ste 100
Englewood, OH 45322
Phone (937) 274-2117

3080 Ackerman Blvd
Ste 220
Kettering, OH 45429
Phone (937) 294-3228

540 Lincoln Park Blvd
Ste 390
Kettering, OH 45429
Phone (937) 296-1126

540 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (937) 293-1117

1900 Composite Dr
Kettering, OH 45420
Phone (937) 293-8419

243 W Central Ave
Springboro, OH 45066
Phone (513) 748-4814

235 W National Rd
Vandalia, OH 45377
Phone (937) 531-0113

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/583/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1255356069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MERCHANT STREET",
            "address_2": "SUITE 220 - ATTN: CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463740",
            "telephone_number": "513-533-1199",
            "fax_number": "513-645-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LINCOLN PARK BLVD STE 200",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-293-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450661103",
            "country_code": "US",
            "telephone_number": "937-748-4814",
            "fax_number": "937-748-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "LING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35088483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.