Individual provider Active NPI

Lei Xu, MD

  • Neurology Physician
  • Maywood, IL
National Provider Identifier
1346462124
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
125049707 Issued in IL
Practice address
2160 South Frist Avenue
Maguire Center Building 105 Room 2700
Maywood, IL 60153
Phone
(708) 216-2662
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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 125049707 IL Primary

Addresses

Primary practice location

2160 South Frist Avenue
Maguire Center Building 105 Room 2700
Maywood, IL 60153

Mailing address

1322 South Prairie
Unit 812
Chicago, IL 60605
Phone (312) 371-5295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190724000167 DC Practitioner - Neurology 6507192952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9318 Gaither Rd
Suite 205
Gaithersburg, MD 20877-1409
Phone (240) 393-5950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125049707ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Culture and Community Service Center, Inc. CurrentSince May 28, 2019 Accepting new patients
Chinese Culture and Community Service Center, Inc. CurrentSince May 28, 2019 Accepting new patients

Locations

9318 Gaither Rd
Ste 205
Gaithersburg, MD 20877
Phone (240) 393-5950

9298 Gaither Rd
Gaithersburg, MD 20877
Phone (240) 393-5950

Organizations & group practices 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1346462124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 SOUTH PRAIRIE",
            "address_2": "UNIT 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605",
            "telephone_number": "312-371-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SOUTH FRIST AVENUE",
            "address_2": "MAGUIRE CENTER BUILDING 105 ROOM 2700",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "LEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125049707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.