Active NPI
Xiaoli Ma, PC
- Gastroenterology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD065188L
- Legal business name
- XIAOLI MA, PC
- Practice address
- 121 N 9TH St
Philadelphia, PA 19107-2410 - Phone
- (215) 629-8866
- Fax
- (215) 629-8867
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xiaoli Ma
- Title
- President
- Phone
- (215) 629-8866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD065188L | PA | Primary |
Addresses
Primary practice location
121 N 9TH St
Philadelphia, PA 19107-2410
Mailing address
405 Dartmouth Rd
Bryn Mawr, PA 19010-2123
Phone (484) 686-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2024656 | Xiaoli Ma PC | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1558300152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311379200000",
"number": "1659407328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 DARTMOUTH RD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190102123",
"telephone_number": "484-686-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N 9TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072410",
"telephone_number": "215-629-8866",
"fax_number": "215-629-8867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XIAOLI MA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2011-07-23",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "XIAOLI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-629-8866"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD065188L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.