Individual provider Active NPI

Xiaodi Yu

  • Family Medicine Physician
  • Upper Darby, PA
National Provider Identifier
1861143240
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP025108 Issued in PA
Practice address
6787 Market St # 101
Upper Darby, PA 19082-1848
Phone
(610) 352-8000
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 SP025108 PA Primary

Addresses

Primary practice location

6787 Market St # 101
Upper Darby, PA 19082-1848

Mailing address

1401 Gentlemens Way
Dresher, PA 19025-1031
Phone (215) 280-8687

Other practice location 1

2010 W Chester Pike Ste 448
Havertown, PA 19083-2741
Phone (610) 853-2502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504002067 PA Practitioner - Nurse Practitioner 2466849765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everest Urgent CareGroup PAC ID 0345549267, 10 clinicians

Practice addresses (Care Compare)

649 Foulkrod St
Unit 301
Philadelphia, PA 19120-2125
Phone (267) 682-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everest Medical Care LLC CurrentSince Jan 19, 2023 Accepting new patients
Everest Urgent Care CurrentSince Feb 1, 2022 Accepting new patients

Locations

2600 W 9th St
Unit E1
Chester, PA 19013
Phone (610) 812-5752

2600 W 9th St
Unit E2
Chester, PA 19013
Phone (484) 480-4700

2010 W Chester Pike
Ste 448
Havertown, PA 19083
Phone (610) 853-2502

649 Foulkrod St
Unit 301
Philadelphia, PA 19120
Phone (215) 572-2900

649 Foulkrod St
Unit 302
Philadelphia, PA 19120
Phone (267) 682-5600

6787 Market St
Ste 1
Upper Darby, PA 19082
Phone (610) 352-8000

6787 Market St
Ste 101
Upper Darby, PA 19082
Phone (610) 352-8000

6787 Market St
Ste 107
Upper Darby, PA 19082
Phone (610) 352-8000

480 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 673-0070

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1861143240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GENTLEMENS WAY",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251031",
            "telephone_number": "215-280-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 MARKET ST # 101",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821848",
            "telephone_number": "610-352-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 W Chester Pike Ste 448",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190832741",
            "country_code": "US",
            "telephone_number": "610-853-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "XIAODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP025108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.