Individual provider Active NPI

Li Xu, MD

  • Obstetrics & Gynecology Physician
  • Holly Springs, NC
National Provider Identifier
1871759258
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2011-00614 Issued in NC
Practice address
101 Cotten LN
Holly Springs, NC 27540-8415
Phone
(919) 235-6456
Fax
(919) 350-6003
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2011-00614 NC Primary

Addresses

Primary practice location

101 Cotten LN
Holly Springs, NC 27540-8415

Mailing address

PO Box 603949
Charlotte, NC 28260-3949

Other practice location 1

801 McCarthy Blvd
New Bern, NC 28562-5237
Phone (252) 633-3942

Other practice location 2

200 Stonebridge Sq
Havelock, NC 28532-9505
Phone (252) 633-3942

Other identifiers 2

IdentifierTypeStateIssuer
5919740MedicaidNC
1871759258MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lxu20560@direct.novanthealth.org

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
I20120303000037 NC Practitioner - Obstetrics/Gynecology 6002974110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

101 Cotten LN
Holly Springs, NC 27540-8415
Phone (919) 350-6002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00614NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Obstetrics & Gynecology Current Accepting new patients
Eastern Carolina Women'S Center, PA Obstetrics & Gynecology CurrentSince Jan 1, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 11, 2021 Accepting new patients
Wakemed Specialists Group LLC Obstetrics & Gynecology CurrentSince Oct 11, 2021 Accepting new patients
Eastern Carolina Women'S Center, PA Obstetrics & Gynecology CurrentSince Jan 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

200 Stonebridge Sq
Havelock, NC 28532
Phone (252) 633-3942

101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456

6102 Grace Park Dr
Morrisville, NC 27560
Phone (919) 235-6405

801 McCarthy Blvd
New Bern, NC 28562
Phone (252) 633-3942

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

Interoperability endpoints

  • Direct secure messaging: lxu373689@directhisp.wakemed.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1871759258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603949",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COTTEN LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408415",
            "telephone_number": "919-235-6456",
            "fax_number": "919-350-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 McCarthy Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625237",
            "country_code": "US",
            "telephone_number": "252-633-3942",
            "fax_number": "252-633-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Stonebridge Sq",
            "address_purpose": "LOCATION",
            "city": "Havelock",
            "state": "NC",
            "postal_code": "285329505",
            "country_code": "US",
            "telephone_number": "252-633-3942",
            "fax_number": "252-633-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "LI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2022-10-25",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2011-00614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919740",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871759258",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lxu20560@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "584 Hospital Dr",
            "address_2": "Suite B",
            "city": "Bolivia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.