Luna Xu, M.D.

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

271008 Issued in NY

Practice address

11 Ralph PL Ste 311
Staten Island, NY 10304-4420

Phone

(718) 224-2711

Fax

(718) 442-3144

NPI assigned

Apr 19, 2012

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Ophthalmology

Education

Columbia University College of Physicians and Surgeons, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Insight Ophthalmology, PLLC

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1770247744

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Advanced Eye Physician PLLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1174600316

  Multi-Specialty

  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Ophthalmology Department of Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252

  Multi-Specialty

  Medicare reassignment NPD
• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246

  Multi-Specialty

  Medicare reassignment NPD
• Grand Fashion Optical, Inc

  • Ophthalmology Physician
  • New York, NY
  • NPI 1124269154

  Multi-Specialty

  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Ophthalmology

  NPD
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1558628156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "STE 311",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 311",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044420",
            "telephone_number": "718-224-2711",
            "fax_number": "718-442-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "LUNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NY",
            "license": "271008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03821592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Xie
• Jack Xie, MD
• Shimin Xie, LAC
• Yueyuan Xie
• Lin Xu, N/A
• Wei Xue
• Kevin Michael Xuereb, PMHNP BC
• Y a Anesthesia Pain Management PLLC
• Y Miller LMSW Services
• Y.M.C.a

• Glaucoma Specialist (Ophthalmology) Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Glaucoma Specialist (Ophthalmology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.