Individual provider Active NPI

Charlies Liu Xie, M.D.

  • Nuclear Imaging & Therapy Physician
  • Dallas, TX
National Provider Identifier
1720512411
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
U0457 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(800) 841-4236
Fax
(706) 653-1162
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X U0457 TX
Nuclear Imaging & Therapy Physician 207UN0902X U0457 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

PO Box 678253
Dallas, TX 75267-8253
Phone (800) 841-4236

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
I20230725000968 TX Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 9638446602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 W Jefferson St
Baylor Medical Ctr
Waxahachie, TX 75165-2231
Phone (972) 923-7000

200 N Virginia St
Terrell, TX 75160-2732
Phone (214) 820-3216

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

3900 Junius St
Suite 200
Dallas, TX 75246-1629
Phone (214) 820-3216

712 N Washington Ave
Suite 101
Dallas, TX 75246-1657

9109 N Central Expy
Suite 200
Dallas, TX 75231-5914
Phone (214) 820-3216

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0457TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 3, 2023 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Blue Stone JV LLP CurrentSince Oct 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations (25 of 42)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

3900 Junius St
Ste 100
Dallas, TX 75246
Phone (214) 820-6900

7777 Forest Ln
Ste D100
Dallas, TX 75230

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

9109 N Central Expy
Ste 100
Dallas, TX 75231

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

3500 Gaston Ave
Dallas, TX 75246

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

1450 8th Ave
Ft Worth, TX 76104
Phone (817) 702-8300

1643 Lancaster Dr
Ste 202
Grapevine, TX 76051
Phone (817) 251-9080

4501 Joe Ramsey Blvd E
Ste 120
Greenville, TX 75401
Phone (903) 201-6688

2121 Pease St
Ste 101
Harlingen, TX 78550
Phone (956) 364-6735

2021 N MacArthur Blvd
Ste 400
Irving, TX 75061
Phone (972) 253-3751

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 12

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1720512411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678253",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "CHARLIES",
        "middle_name": "LIU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U0457",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "TX",
            "license": "U0457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.