Individual provider Active NPI

Xianfeng Wen, MD

  • Cardiovascular Disease Physician
  • Kingwood, TX
National Provider Identifier
1356669154
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
Q0204 Issued in TX
Practice address
2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777
Phone
(281) 358-1950
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q0204 TX Primary

Addresses

Primary practice location

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777

Mailing address

2627 Chestnut Ridge Rd
Ste 100
Kingwood, TX 77339
Phone (281) 358-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140729001224 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446476360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lieber-Moore Cardiology Associates PAGroup PAC ID 8022904770, 16 clinicians

Practice addresses (Care Compare)

2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lieber-Moore Cardiology Associates PA Cardiovascular Disease CurrentSince Sep 1, 2016 Accepting new patients

Locations

800 Peakwood Dr
Ste 6C
Houston, TX 77090
Phone (281) 440-7373

19502 McKay Dr
Ste 203
Humble, TX 77338

2627 Chestnut Ridge Dr
Ste 100
Kingwood, TX 77339

9180 Pinecroft Dr
Ste 250
Shenandoah, TX 77380
Phone (281) 955-9158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIACA

Organizations & group practices 1

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 1

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1356669154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE RD",
            "address_2": "STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEN",
        "first_name": "XIANFENG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.