Individual provider Active NPI

Mingzhu Xu, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1285864983
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
288901 Issued in NY
Practice address
139 Centre St Ste 715a
New York, NY 10013-4557
Phone
(917) 374-2100
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 288901 NY Primary

Addresses

Primary practice location

139 Centre St Ste 715a
New York, NY 10013-4557

Mailing address

139 Centre St Ste 715a
New York, NY 10013-4557
Phone (917) 374-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120816000053 WI Practitioner - Internal MedicinePractitioner - Hospitalist 6608022157 Reassigns benefits to 1 organization
I20181221000960 NY Practitioner - Internal Medicine 6608022157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5615 7TH Ave
FL 2
Brooklyn, NY 11220-3509
Phone (718) 205-2186

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288901NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Mingzhu Medical Office, P.C. CurrentSince Dec 18, 2019 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Oct 15, 2020 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
St. Mary'S Hospital of Superior Current Accepting new patients
Lawrence Medical Associates, PC Internal Medicine CurrentSince Oct 15, 2020 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Advantagecare Physicians PC CurrentSince Dec 1, 2018 Accepting new patients
Wellness Acute Care NP PC Internal Medicine PastSince Mar 21, 2021 Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

139 Centre St
Ste 715A
New York, NY 10013
Phone (917) 374-2100

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Networks

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

Interoperability endpoints

  • Direct secure messaging: mingzhuxu@mai.allscriptsdirect.net
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1285864983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 715A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "917-374-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 715A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "917-374-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "MINGZHU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "288901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.