Individual provider Active NPI

Mona Xiao, MD

  • Family Medicine Physician
  • Roanoke Rapids, NC
National Provider Identifier
1841784931
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-02521 Issued in NC
Practice address
2066 NC Highway 125
Roanoke Rapids, NC 27870-9436
Phone
(252) 536-5000
Fax
(252) 536-2258
NPI assigned
Jun 21, 2018
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021-02521 NC Primary

Addresses

Primary practice location

2066 NC Highway 125
Roanoke Rapids, NC 27870-9436

Mailing address

PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211209002191 NC Practitioner - Family Practice 5698026938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, shared by 19 NPIs, 65 clinicians

Practice addresses (Care Compare)

2066 NC Hwy 125
Roanoke Rapids, NC 27870-9436
Phone (252) 536-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-02521NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Group, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 22, 2023 Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 22, 2023 Accepting new patients

Locations

1096 E 10th St
Roanoke Rapids, NC 27870
Phone (252) 535-3516

1381 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 535-1414

2066 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 536-5000

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

270 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-6816

Organizations & group practices 6

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.

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1841784931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5440",
            "fax_number": "252-536-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709436",
            "telephone_number": "252-536-5000",
            "fax_number": "252-536-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "MONA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.