Active NPI
Vivian Xu, MD
- Student in an Organized Health Care Education/Training Program
- Miami, FL
National Provider Identifier
1669051348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1120 NW 14TH St FL 5
Miami, FL 33136-2107 - Phone
- (305) 243-3564
- Fax
- (305) 243-1651
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Otolaryngology Physician | 207Y00000X | ME181094 | FL |
Addresses
Primary practice location
1120 NW 14TH St FL 5
Miami, FL 33136-2107
Mailing address
12 Blue Jay Dr
Bloomsburg, PA 17815-7719
Phone (570) 204-8752
Other practice location 1
925 Chestnut St Fl 6
Philadelphia, PA 19107-4204
Phone (215) 955-6784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10451 NW 117TH Ave
Suite 200
Medley, FL 33178-1138
PO Box
Atlanta, GA 30384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME181094 | FL | MD | Otolaryngology Physician |
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 and National Provider Directory roles.
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1669051348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BLUE JAY DR",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178157719",
"telephone_number": "570-204-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 NW 14TH ST FL 5",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362107",
"telephone_number": "305-243-3564",
"fax_number": "305-243-1651"
}
],
"practiceLocations": [
{
"address_1": "925 Chestnut St Fl 6",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074204",
"country_code": "US",
"telephone_number": "215-955-6784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XU",
"first_name": "VIVIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME181094",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.