Individual provider Active NPI

Xiaolan Zhu, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1558369819
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101232556 Issued in VA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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 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

IdentifierTypeStateIssuer
010009201MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000153 DC Practitioner - Internal Medicine 0941236640 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0101232556VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xiaolan Zhu PLLC Internal Medicine CurrentSince Sep 20, 2002 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

Verify at the official NPI Registry.