Phoenix Y Xu

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

327482 Issued in NY

Practice address

15352 76TH Rd
Flushing, NY 11367-3183

Phone

(718) 820-0120

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nephrology

Education

Rutgers New Jersey Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Avenue Nephrology and Medicine PCGroup PAC ID 0840430344, 5 clinicians

Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita East New York Dialysis Dialysis facility, Brooklyn, NY, CCN 332573
• DaVita Kings Highway Dialysis Dialysis facility, Brooklyn, NY, CCN 332821
• DaVita Dyker Heights Dialysis Center Dialysis facility, Brooklyn, NY, CCN 332596
• DaVita Clearview Dialysis Dialysis facility, Bayside, NY, CCN 332787
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: pxu47089@direct.davitaphysiciansolutions.com

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.

• Park Avenue Nephrology & Medicine, PC

  • Nephrology Physician
  • Flushing, NY
  • NPI 1225389331
  Medicare reassignment Care Compare group NPD
• Wyckoff Professional Medical Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659710796

  Nephrology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knickerbocker Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1043839269

  Dialysis facility

  Care Compare affiliation Name & address match
• Knickerbocker Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bayside, NY
  • NPI 1710404108

  Dialysis facility

  Care Compare affiliation Name & address match
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  Care Compare affiliation

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1891324927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15352 76TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673183",
            "telephone_number": "718-820-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15352 76TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673183",
            "telephone_number": "718-820-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "PHOENIX",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "327482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jie Xu
• Jin Xu, M.D.
• Jiru Xu
• Li Xu, OD
• Peiyu Xu
• Qian Xu
• Richard Li-Cheng Xu, M.D.
• Rong Xu, M.D.
• Su Xu
• Tian de Xu

• Nephrology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.