NPIMap

Individual provider Active NPI

Weidong Xu

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1538138201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00037766 Issued in WA
Practice address
9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213
Phone
(253) 582-8900
Fax
(253) 756-3974
NPI assigned
Mar 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00037766 WA Primary

Addresses

Primary practice location

9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213

Mailing address

2346 Fremont St
Tacoma, WA 98406-1613
Phone (253) 756-2928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000572 WA Practitioner - Internal Medicine 2567496201 Practice locations: University Place, WA; Tacoma, WA; Federal Way, WA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2102 S 96TH St
Tacoma, WA 98444-1753
Phone (253) 581-2541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Social Dept of SHS Div of Instns Past Accepting new patients
Adult Inpatient Medical Services,PLLC Internal Medicine Past Accepting new patients
Federal Way Medical Investors, LLC Past Accepting new patients
Consolidated Resources Health Care Fund I, LP Past Accepting new patients
Highland Wellnesscare, LLC Past Accepting new patients

Organizations & group practices 5

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 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538138201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 FREMONT ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061613",
            "telephone_number": "253-756-2928",
            "fax_number": "253-212-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 STEILACOOM BLVD SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984987213",
            "telephone_number": "253-582-8900",
            "fax_number": "253-756-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "WEIDONG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.