Individual provider Active NPI

Yan Xiong, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1831451210
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29370 Issued in OK
Practice address
920 SL Young Blvd
Oklahoma City, OK 73104-5036
Phone
(405) 271-5963
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29370 OK Primary

Addresses

Primary practice location

920 SL Young Blvd
Oklahoma City, OK 73104-5036

Mailing address

920 SL Young Blvd
Oklahoma City, OK 73104-5036
Phone (405) 271-5963

Other practice location 1

1200 E Pecan St
Altus, OK 73521-6192
Phone (580) 379-5992

Other identifiers 1

IdentifierTypeStateIssuer
200444370AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160414000716 OK Practitioner - Internal Medicine 8729201629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson County Memorial Hospital AuthorityGroup PAC ID 1759293178, shared by 9 NPIs, 46 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

400 E Chestnut St
Hollis, OK 73550-2030
Phone (580) 688-3363

700 NE 13TH St
Ou Medical Center Trauma Center Ouhp Ou
Oklahoma City, OK 73104-5069
Phone (405) 271-4700

Hospital & facility affiliations

  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Harmon Memorial Hospital Hospital, Hollis, OK, CCN 371338
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Jackson County Memorial Hospital Authority Nursing home, CCN 37U022

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince Feb 28, 2019 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Feb 28, 2019 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 3, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince May 2, 2018 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 3, 2022 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

400 E Chestnut St
Hollis, OK 73550
Phone (580) 471-0971

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

920 Stanton L Young Blvd
Ste 2410
Oklahoma City, OK 73104

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: him@direct.jcmh.com
  • Direct secure messaging: yxiong21869@ouhealth.direct-ci.net

Organizations & group practices 7

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 6

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1831451210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SL YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SL YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Pecan St",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735216192",
            "country_code": "US",
            "telephone_number": "580-379-5992",
            "fax_number": "580-379-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "YAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "29370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444370A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "1200 E Pecan St",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735216192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.