Individual provider Active NPI

Xiao-Hong Jiang, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1649517251
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
272251 Issued in NY
Practice address
139 Centre St
Suite 515
New York, NY 10013-4552
Phone
(212) 941-9020
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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 272251 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 515
New York, NY 10013-4552

Mailing address

139 Centre St
Suite 515
New York, NY 10013-4552
Phone (212) 941-9020

Other identifiers 1

IdentifierTypeStateIssuer
D3799442MedicaidNY

Other names 1

  • Ma Tin Tin Oo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140128001460 NY Practitioner - Internal Medicine 1355570037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

139 Centre St
Suite 515
New York, NY 10013-4555
Phone (212) 941-9020

Merit-based Incentive Payment System (MIPS)

Final score
55 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272251NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metro True Care Medical, P.C. Internal Medicine CurrentSince Dec 24, 2019 Accepting new patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Dec 24, 2019 Accepting new patients

Locations

4235 Main St
Ste 3N
Flushing, NY 11355
Phone (718) 961-3800

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

139 Centre St
Ste 515
New York, NY 10013
Phone (212) 941-9020

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1649517251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 515",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-941-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 515",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-941-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "XIAO-HONG",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3799442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA",
            "last_name": "OO",
            "middle_name": "TIN TIN",
            "credential": "M.B.,B.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.