Individual provider Active NPI

Qian Xu

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
National Provider Identifier
1346732666
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007239 Issued in NY
Practice address
1810 College Point Blvd
Flushing, NY 11356-2221
Phone
(646) 520-7027
Fax
(929) 242-4312
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007239 NY Primary

Addresses

Primary practice location

1810 College Point Blvd
Flushing, NY 11356-2221

Mailing address

17128 Pidgeon Meadow Rd
Flushing, NY 11365-1137
Phone (617) 413-8097

Other practice location 1

8510 Queens Blvd
Elmhurst, NY 11373-5218
Phone (646) 520-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706003108 NY Practitioner - Podiatry 6204216443 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007239NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yuen Podiatry PC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Personalized Footcare PC Foot & Ankle Surgery CurrentSince May 10, 2022 Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

8510 Queens Blvd
Elmhurst, NY 11373
Phone (646) 520-7027

1810 College Point Blvd
Flushing, NY 11356
Phone (646) 520-7027

13516 Roosevelt Ave
Ste 3
Flushing, NY 11354
Phone (631) 460-3030

970 N Broadway
Ste 308B
Yonkers, NY 10701
Phone (914) 423-8000

Networks

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

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1346732666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17128 PIDGEON MEADOW RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651137",
            "telephone_number": "617-413-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 COLLEGE POINT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113562221",
            "telephone_number": "646-520-7027",
            "fax_number": "929-242-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8510 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735218",
            "country_code": "US",
            "telephone_number": "646-520-7027",
            "fax_number": "929-242-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "QIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.