Active NPI
Xiang Gao, M.D.
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 296228
- Practice address
- 111 E 210TH St
Bronx, NY 10467 - Phone
- (203) 430-6542
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U4202 | TX | |
| Hospitalist Physician | 208M00000X | U4202 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 296228 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467
Mailing address
5 Fordham Hill Oval Apt 11H
Bronx, NY 10468-4764
Phone (203) 430-6542
Other practice location 1
62 Lawrence St.
Apt. 3
New Haven, CT 06511
Phone (203) 430-6542
Other practice location 2
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129
Interoperability endpoints
- xgao340721@christushealth.direct-ci.net
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1447631205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FORDHAM HILL OVAL APT 11H",
"city": "BRONX",
"state": "NY",
"postal_code": "104684764",
"telephone_number": "203-430-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "203-430-6542"
}
],
"practiceLocations": [
{
"address_1": "62 Lawrence St.",
"address_2": "Apt. 3",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06511",
"country_code": "US",
"telephone_number": "203-430-6542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-7264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAO",
"first_name": "XIANG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U4202",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "U4202",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "296228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.