Baogang Xue

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD438584 Issued in PA

Practice address

1501 Kings Hwy
Department of Psychiatry
Shreveport, LA 71103-4228

Phone

(318) 675-5000

NPI assigned

Dec 17, 2007

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

77.27 of 100Reported as group

Quality

46.2

Improvement activities

40

Cost

75.23

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

78.42

Improvement activities

40

Cost

70.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merakey Delaware County

  • Community/Behavioral Health Agency
  • Sharon Hill, PA
  • NPI 1750505889
  Medicare reassignment NPD
• Cen Clear Child Services, Inc.

  • Mental Health Counselor
  • Philipsburg, PA
  • NPI 1841289733
  NPD
• Merakey Delaware County

  • Community/Behavioral Health Agency
  • Broomall, PA
  • NPI 1003075425
  NPD
• Merakey Delaware County

  • Community/Behavioral Health Agency
  • Broomall, PA
  • NPI 1366779746
  NPD
• Conemaugh Health Initiatives

  • Family Medicine Physician
  • New Paris, PA
  • NPI 1487724597
  NPD (past)
• Dept of Military Affairs, Commonwealth of Pennsylvania

  dba Hollidaysburg Veterans Home

  • Nursing Facility/Intermediate Care Facility
  • Hollidaysburg, PA
  • NPI 1518058726
  NPD (past)
• Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
  • NPI 1457488298
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1740463470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XUE",
        "first_name": "BAOGANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD438584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golanda Jeannette Wynn-Atkins
• Amber S Wynn
• Aubrey Booth Wynn III, RPH MBA MHA
• Michelle Kathleen Wynn, LPN
• Tailong Xu
• Sudhira Kumari Yadav, DDS
• Roderick Yancy
• Zhiyun Yang, M.D.
• Joseph William Yarbrough Jr., DO
• Joshua O Yarbrough, RKT

• Psychiatry Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.

Verify at the official NPI Registry.