Individual provider Active NPI

Jia Xu, MD

  • Ophthalmology Physician
  • Seattle, WA
National Provider Identifier
1366000192
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61614961 Issued in WA
Practice address
1229 Madison St Ste 620
Seattle, WA 98104-3304
Phone
(062) 153-8502
Fax
(206) 215-3870
NPI assigned
Jun 5, 2019
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD61614961 WA Primary

Addresses

Primary practice location

1229 Madison St Ste 620
Seattle, WA 98104-3304

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (206) 215-3850

Other names 1

  • Jeannie Xu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 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
I20230526000405 MA Practitioner - Ophthalmology 4284960147
I20250612002201 WA Practitioner - Ophthalmology 4284960147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Northwest Retina PLLCGroup PAC ID 8820494073, 19 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3779
Phone (206) 215-3850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280390NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center NW, PLLC Current Accepting new patients
The Retina Surgery Center LLC CurrentSince Jul 22, 2025 Accepting new patients
Pacific Northwest Retina PLLC CurrentSince Jul 28, 2025 Accepting new patients
Proliance Surgeons Inc P S Past Accepting new patients

Locations

1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837

3105 Old Fairhaven Pkwy
Ste C
Bellingham, WA 98225

22232 17th Ave SE
Ste 308
Bothell, WA 98021

321 Ramsay Way
Ste 107
Kent, WA 98032

1229 Madison St
Ste 620
Seattle, WA 98104

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jia.xumd.p16@direct.pnwr.nextgenshare.com
  • Direct secure messaging: jxu@retinacenternw.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1366000192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043304",
            "telephone_number": "062-153-8502",
            "fax_number": "206-215-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61614961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "XU",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.