Renlin Xia, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

036088691 Issued in IL

Practice address

3412 W Fullerton Ave
Chicago, IL 60647-2416

Phone

(773) 235-8000

NPI assigned

Mar 16, 2007

Last updated

Jul 24, 2007By 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 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• American Women's Professional Group Corp

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1104096031

  Anesthesiology

  Medicare reassignment NPD Authorized official
• Fullerton Kimball Medical & Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
  • NPI 1205964103
  Medicare reassignment NPD Authorized official
• American Womens Medical Group

  dba Western Diversey Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
  • NPI 1265583934
  Medicare reassignment NPD (past) Authorized official
• Fullerton Kimball Medical Group SC

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831213081
  Medicare reassignment Authorized official
• Medworks Joliet Corp

  • Pain Medicine (Anesthesiology) Physician
  • Joliet, IL
  • NPI 1932426285
  Medicare reassignment NPD
• RX Pain Management Group PC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1154334779
  Medicare reassignment NPD
• CMP Professional Services

  • Pain Medicine Physician
  • Chicago, IL
  • NPI 1801914791

  Anesthesiology

  NPD (past) Authorized official
• WX Medical Center Corp

  • Chiropractor
  • Chicago, IL
  • NPI 1144542531
  Authorized official Same address or phone
• Logan Multispecialty Clinic S C

  • Internal Medicine Physician
  • Burr Ridge, IL
  • NPI 1770015836
  NPD
• David P. Calimag MD SC

  • Neurology Physician
  • Park Ridge, IL
  • NPI 1578787537
  NPD (past)
• DX Physical Therapy & Rehabilitation, LTD.

  • Chiropractor
  • Norridge, IL
  • NPI 1265692487
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1790809960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478499",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478499",
            "telephone_number": "773-235-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472416",
            "telephone_number": "773-235-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIA",
        "first_name": "RENLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036088691",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088691",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036088691",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036088691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FOR LX HEALTH",
            "identifier": "01633171",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "01620404",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088691   4",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "01635426",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Xamplas, PHARMD
• Mario Sebastin Xavier, MHS, PT
• Xenon Anesthesia of Illinois LLC
• Helen P Xenos
• Sylvia XI-Moy, M.D., S.C.
• Bingtao Xiang
• Janet Xiao, PHARMD
• Jianzhou T Xiao
• Kangni Xiao, MD
• Rui Xiao, MD

• Pain Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.