Individual provider Active NPI

Lucy Tan Xu, M.D

  • Ophthalmology Physician
  • Columbia, MD
National Provider Identifier
1831586072
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82297 Issued in GA
Practice address
7130 Minstrel Way Ste Ll100
Columbia, MD 21045-5242
Phone
(410) 997-4443
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.026699 OH
Ophthalmology Physician 207W00000X 57.026699 OH
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 82297 GA Primary

Addresses

Primary practice location

7130 Minstrel Way Ste Ll100
Columbia, MD 21045-5242

Mailing address

7501 Greenway Center Dr Ste 700
Greenbelt, MD 20770-6703
Phone (301) 441-4577

Other practice location 1

1365 Clifton Rd NE # B
Atlanta, GA 30322-1013
Phone (404) 778-2020

Other practice location 2

9500 Euclid Ave # I-13
Cleveland, OH 44195-0001
Phone (216) 444-2020

Other names 1

  • Tan Xu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211208002401 DC Practitioner - Ophthalmology 6103126388 Reassigns benefits to 1 organization
I20220216001538 VA Practitioner - Ophthalmology 6103126388 Reassigns benefits to 1 organization
I20220221000423 MD Practitioner - Ophthalmology 6103126388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

16901 Melford Blvd
Suite 111
Bowie, MD 20715-4449
Phone (301) 805-5395

2002 Medical Pkwy
Suite 450
Annapolis, MD 21401-3263
Phone (410) 224-6680

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.026699OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients

Locations

2002 Medical Pkwy
Ste 450
Annapolis, MD 21401
Phone (410) 224-6680

16901 Melford Blvd
Ste 111
Bowie, MD 20715
Phone (301) 805-5395

9131 Piscataway Rd
Ste 500
Clinton, MD 20735
Phone (301) 868-8747

7130 Minstrel Way
Ste 100
Columbia, MD 21045

7130 Minstrel Way
Ste LL100
Columbia, MD 21045
Phone (410) 997-4443

7130 Minstrel Way
Ste 120
Columbia, MD 21045
Phone (410) 997-4443

7501 Greenway Center Dr
Ste 700
Greenbelt, MD 20770
Phone (301) 441-4577

7501 Greenway Center Dr
Greenbelt, MD 20770
Phone 30147446793023

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

6354 Walker Ln
Ste 100
Alexandria, VA 22310
Phone (703) 313-8822

8270 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (703) 698-9335

8270 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (571) 423-4250

8270 Willow Oaks Corporate Dr
Ste 6
Fairfax, VA 22031

8270 Willow Oaks Corporate Dr
Fl 6
Fairfax, VA 22031
Phone (703) 698-9335

10530 Linden Lake Plz
Ste 305
Manassas, VA 20109
Phone (703) 257-9270

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.

Hospital & facility affiliations 2

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1831586072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR STE 700",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706703",
            "telephone_number": "301-441-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE LL100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455242",
            "telephone_number": "410-997-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE # B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave # I-13",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "LUCY",
        "middle_name": "TAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.026699",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "57.026699",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "82297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAN",
            "last_name": "XU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.