Active NPI
Phua Xiong, M.D.
- Family Medicine Physician
- Saint Paul, MN
National Provider Identifier
1720149347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40209
- Practice address
- 1239 Payne Ave
Saint Paul, MN 55130 - Phone
- (651) 209-8350
- NPI assigned
- Dec 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40209 | MN | Primary |
Addresses
Primary practice location
1239 Payne Ave
Saint Paul, MN 55130
Mailing address
1239 Payne Ave
Saint Paul, MN 55130
Phone (651) 209-8350
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23156 | Other | MN | HEALTHPARTNERS |
| 489369700 | Medicaid | MN | |
| 01-09122 | Other | MN | MEDICA HEALH PLAN |
| 111533 | Other | MN | PATIENT CHOICE |
| 120044 | Other | MN | UCARE MINNESOTA |
| 156J4XI | Other | MN | BLUE CROSS BLUE SHIELD |
| NA3711016033 | Other | MN | PREFERREDONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Family Practice
- Education
- University of Minnesota Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1239 Payne Ave
Suite 200
Saint Paul, MN 55130-3671
Phone (651) 209-8350
Hospital & facility affiliations
- Accentcare Fairview Home Health - West, LLC
- M Health Fairview St John'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qwik Urgent Care Clinic | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- phua.xiong.1@12803.direct.athenahealth.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.
-
- Clinic/Center
- Saint Paul, MN
- NPI 1346302981
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1922219021
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1477169233
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1720149347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55130",
"telephone_number": "651-209-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55130",
"telephone_number": "651-209-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "PHUA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "40209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "23156",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "489369700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALH PLAN",
"identifier": "01-09122",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PATIENT CHOICE",
"identifier": "111533",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MINNESOTA",
"identifier": "120044",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "156J4XI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "NA3711016033",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.