Individual provider Active NPI

Hong Xiao, MD

  • Adult Medicine Physician
  • Carrollton, TX
National Provider Identifier
1669434601
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
L3196 Issued in TX
Practice address
4100 Fairway Dr Ste 300
Carrollton, TX 75010-6537
Phone
(972) 236-7608
Fax
(972) 236-7606
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X L3196 TX Primary

Addresses

Primary practice location

4100 Fairway Dr Ste 300
Carrollton, TX 75010-6537

Mailing address

4100 Fairway Dr Ste 320
Carrollton, TX 75010-6537
Phone (972) 899-2623

Other identifiers 1

IdentifierTypeStateIssuer
151197401MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Carrollton Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100506000377 TX Practitioner - Family Practice 3274661533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairway Family Medicine-Primary Care PLLCGroup PAC ID 2264689827, 2 clinicians

Practice addresses (Care Compare)

4100 Fairway Dr
Suite 320
Carrollton, TX 75010-6537
Phone (972) 236-7608

Hospital & facility affiliations

  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3196TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hong.xiao@fwfm.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1669434601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 320",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106537",
            "telephone_number": "972-899-2623",
            "fax_number": "972-236-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 300",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106537",
            "telephone_number": "972-236-7608",
            "fax_number": "972-236-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "HONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "L3196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151197401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carrollton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4100 Fairway Dr Ste 300",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750106537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.