Individual provider Active NPI

Xiaorong Dai, MD

  • Obstetrics & Gynecology Physician
  • West Palm Beach, FL
National Provider Identifier
1407901028
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME92579 Issued in FL
Practice address
603 Village Blvd
Suite 201
West Palm Beach, FL 33409
Phone
(561) 683-1331
Fax
(561) 683-4615
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME92579 FL Primary

Addresses

Primary practice location

603 Village Blvd
Suite 201
West Palm Beach, FL 33409

Mailing address

603 Village Blvd
Suite 201
West Palm Beach, FL 33409
Phone (561) 683-1331

Other identifiers 1

IdentifierTypeStateIssuer
002219900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091117000557 FL Practitioner - Obstetrics/Gynecology 7517005317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raulerson GYN LLCGroup PAC ID 9335213388, 7 clinicians

Practice addresses (Care Compare)

603 Village Blvd
Suite 201
West Palm Beach, FL 33409-1972
Phone (561) 683-1331

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Jul 2, 2022 Accepting new patients
Raulerson GYN LLC CurrentSince Apr 11, 2010 Accepting new patients
Institute for Women'S Health and Body, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

12953 Palms West Dr
Ste 101
Loxahatchee, FL 33470
Phone (407) 795-2400

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

21110 Biscayne Blvd
Ste 400
Miami, FL 33180
Phone (305) 918-7050

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

603 Village Blvd
Ste 201
West Palm Beach, FL 33409
Phone (561) 683-1331

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: xiaorong.dai@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1407901028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-683-1331",
            "fax_number": "561-683-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-683-1331",
            "fax_number": "561-683-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "XIAORONG",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME92579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002219900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.