Individual provider Active NPI

Jiashou J Xu, M.D.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1861786329
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17328 Issued in NV
Practice address
8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Phone
(702) 258-7788
Fax
(702) 258-7787
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17328 NV Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013

Mailing address

10001 S Eastern Ave Ste 201
Henderson, NV 89052-3908
Phone (702) 914-2420

Other names 1

  • Jimmy Xu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170804003049 NV Practitioner - General Surgery 3375847841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians
LV Surgery Associates PLLCGroup PAC ID 2668840174, 25 clinicians

Practice addresses (Care Compare)

1500 Ave H
Ely, NV 89301

8930 W Sunset Rd
Suite 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.4 of 100Reported as group
Quality
27.48
Improvement activities
0
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Varicose vein removal28
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LV Surgery Associates PLLC CurrentSince Jan 1, 2023 Accepting new patients
Vegas Vascular Specialists PLLC CurrentSince May 22, 2022 Accepting new patients
William Bee Ririe Hospital CurrentSince Jan 22, 2024 Accepting new patients
William Bee Ririe Retail Pharmacy CurrentSince Jan 22, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Talbert Medical Group Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Henderson Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

901 N Green Valley Pkwy
Ste 160
Henderson, NV 89074
Phone (702) 258-7788

6850 N Durango Dr
Ste 218
Las Vegas, NV 89149
Phone (702) 202-3431

8930 W Sunset Rd
Ste 250
Las Vegas, NV 89148
Phone (702) 258-7788

9811 W Charleston Blvd
Ste 2640
Las Vegas, NV 89117

8930 W Sunset Rd
Ste 300
Las Vegas, NV 89148
Phone (702) 258-7788

1250 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 383-4001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 9

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1861786329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485013",
            "telephone_number": "702-258-7788",
            "fax_number": "702-258-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JIASHOU",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "17328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "XU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.