Individual provider Active NPI

Dabo Xu, MD

  • Gastroenterology Physician
  • Leesburg, VA
National Provider Identifier
1649616301
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101270278 Issued in VA
Practice address
44055 Riverside Pkwy Ste 226
Leesburg, VA 20176-5177
Phone
(703) 858-6202
Fax
(703) 858-6230
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301109577 MI
Internal Medicine Physician 207R00000X 0101270278 VA
Gastroenterology Physician 207RG0100X A165838 CA
Student in an Organized Health Care Education/Training Program 390200000X MI
Gastroenterology Physician 207RG0100X 0101270278 VA Primary

Addresses

Primary practice location

44055 Riverside Pkwy Ste 226
Leesburg, VA 20176-5177

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

1500 E Medical Center Dr
3912 Taubman Center, SPC 5362
Ann Arbor, MI 48109-5000
Phone (734) 615-8468

Other practice location 2

1825 Sonoma St
Redding, CA 96001-2519
Phone (530) 243-8667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xdabo716570@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201030000380 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 3577855600 Reassigns benefits to 4 organizations
I20210512001495 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 3577855600 Reassigns benefits to 1 organization
I20220712001998 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 3577855600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Center of Maryland LLCGroup PAC ID 7517972037, 23 clinicians

Practice addresses (Care Compare)

3405 Olandwood CT
Suite 102
Olney, MD 20832-1447
Phone (301) 570-8671

7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274
Phone (410) 290-6677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165838CAMDGastroenterology Physician
0101270278VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Internal Medicine CurrentSince May 15, 2021 Accepting new patients
Gastro Center of Maryland LLC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Cascades Endoscopy Center, LLC CurrentSince Jul 1, 2022 Accepting new patients
Gastro Virginia LLC Gastroenterology CurrentSince May 1, 2026 Accepting new patients
Inova Health Care Services CurrentSince Oct 5, 2020 Accepting new patients
Annapolis Endoscopy Center LLC CurrentSince Jul 1, 2022 Accepting new patients
B Nicholas Namihas M D Inc a Professional Medical Corporation Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

7120 Minstrel Way
Ste 200
Columbia, MD 21045

3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671

6502 Kenilworth Ave
Ste 100
Riverdale Park, MD 20737
Phone (301) 927-4200

4660 Kenmore Ave
Ste 810
Alexandria, VA 22304
Phone (703) 823-0333

8101 Hinson Farm Rd
Ste 415
Alexandria, VA 22306
Phone (703) 799-4000

12011 Route 50
Ste 506
Fairfax, VA 22033
Phone (484) 339-6869

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

1410 Spring Hill Rd
Ste 305
Mc Lean, VA 22102

Organizations & group practices 9

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1649616301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44055 RIVERSIDE PKWY STE 226",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765177",
            "telephone_number": "703-858-6202",
            "fax_number": "703-858-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_2": "3912 Taubman Center, SPC 5362",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-615-8468",
            "fax_number": "734-936-7392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Sonoma St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012519",
            "country_code": "US",
            "telephone_number": "530-243-8667",
            "fax_number": "530-243-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "DABO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109577",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101270278",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A165838",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101270278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xdabo716570@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8101 Hinson Farm Rd Ste 415",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223063410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.