Individual provider Active NPI

Xiao Ling, M.D.

  • Nephrology Physician
  • Yakima, WA
National Provider Identifier
1851743785
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.MD.61114048 Issued in WA
Practice address
315 Holton Ave Ste 100
Yakima, WA 98902-3245
Phone
(509) 248-6292
NPI assigned
Jul 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301110438 MI
Nephrology Physician 207RN0300X A161480 CA
Nephrology Physician 207RN0300X MD.MD.61114048 WA Primary

Addresses

Primary practice location

315 Holton Ave Ste 100
Yakima, WA 98902-3245

Mailing address

315 Holton Ave Ste 100
Yakima, WA 98902-3245
Phone (509) 248-6292

Other practice location 1

4150 V St Ste 3500
Sacramento, CA 95817-1460
Phone (916) 734-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210714001604 WA Practitioner - Internal MedicinePractitioner - Nephrology 5991107823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Hamilton Licht, M.D., P.C.Group PAC ID 0648202242, 3 clinicians

Practice addresses (Care Compare)

315 Holton Ave
Suite 100
Yakima, WA 98902-3245
Phone 5092486292102

Hospital & facility affiliations

  • DaVita Lake Aspen Home Training Dialysis facility, Yakima, WA, CCN 502612
  • DaVita Yakima Dialysis Center Dialysis facility, Yakima, WA, CCN 502541
  • DaVita Ellensburg Dialysis Center Dialysis facility, Ellensburg, WA, CCN 502552
  • DaVita Union Gap Dialysis Dialysis facility, Union Gap, WA, CCN 502543
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333

Merit-based Incentive Payment System (MIPS)

Final score
23.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110438MIMDInternal Medicine Physician
A161480CAMDNephrology Physician
MD.MD.61114048WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Hamilton Licht, M.D., P.C. Nephrology CurrentSince Aug 23, 2021 Accepting new patients
Karen L. Harrison, M.D. P.S., Inc. Nephrology PastSince Aug 23, 2021 Accepting new patients

Locations

315 Holton Ave
Ste 100
Yakima, WA 98902
Phone (509) 248-6292

Interoperability endpoints

  • Direct secure messaging: xling772704@direct.multicare.org

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 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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1851743785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOLTON AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023245",
            "telephone_number": "509-248-6292",
            "fax_number": "509-248-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOLTON AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023245",
            "telephone_number": "509-248-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 V St Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171460",
            "country_code": "US",
            "telephone_number": "916-734-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LING",
        "first_name": "XIAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-02",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110438",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A161480",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD.MD.61114048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.