Active NPI
Xiaolan Zhu, M.D.
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1558369819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101232556
- Practice address
- 3613 Chain Bridge Rd
Suite a
Fairfax, VA 22030-3238 - Phone
- (703) 893-6680
- Fax
- (703) 893-6676
- NPI assigned
- Jul 12, 2005
- Last updated
- Oct 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101232556 | VA | Primary |
Addresses
Primary practice location
3613 Chain Bridge Rd
Suite a
Fairfax, VA 22030-3238
Mailing address
3613 Chain Bridge Rd
Suite a
Fairfax, VA 22030-3238
Phone (703) 893-6680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010009201 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3613 Chain Bridge Rd
Suite a
Fairfax, VA 22030-3238
Phone (703) 893-6680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232556 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xiaolan Zhu PLLC | Internal Medicine | Current | Accepting new patients |
Locations
3613 Chain Bridge Rd
Ste A
Fairfax, VA 22030
Phone (703) 352-3910
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1558369819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3613 CHAIN BRIDGE RD",
"address_2": "SUITE A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303238",
"telephone_number": "703-893-6680",
"fax_number": "703-893-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3613 CHAIN BRIDGE RD",
"address_2": "SUITE A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303238",
"telephone_number": "703-893-6680",
"fax_number": "703-893-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHU",
"first_name": "XIAOLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101232556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010009201",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.