Xiaoying Qiao, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

036-109886 Issued in IL

Practice address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone

(708) 783-0192

NPI assigned

Jul 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Pathology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Illinois Pathology Associates, LTD.Group PAC ID 1951579838, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midwestern Region Med Center, Inc Hospital, Zion, IL, CCN 140100
• Humboldt Park Health Hospital, Chicago, IL, CCN 140206
• West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Illinois Pathology Associates, LTD.

  • Clinical Pathology/Laboratory Medicine Physician
  • Berwyn, IL
  • NPI 1043501554
  Medicare reassignment Care Compare group NPD
• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072
  Medicare reassignment Care Compare group
• SCH Laboratory Physicians, SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1700899218
  Medicare reassignment NPD
• CML-Chicago Market Labs, Inc.

  • Clinical Medical Laboratory
  • Berwyn, IL
  • NPI 1114087178
  NPD (past)
• VHS of Illinois Inc

  dba MacNeal Hospital

  • Family Medicine Physician
  • Berwyn, IL
  • NPI 1124006705
  NPD (past)

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

• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877
  Care Compare affiliation
• Midwestern Regional Medical Center, Inc.

  dba City of Hope Cancer Center Chicago

  • General Acute Care Hospital
  • Zion, IL
  • NPI 1811984388
  Care Compare affiliation
• Resilience Healthcare-West Suburban Medical Center, LLC

  dba West Suburban Medical Center

  • General Acute Care Hospital
  • Oak Park, IL
  • NPI 1619442266
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1912936584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5966",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975966",
            "telephone_number": "877-861-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAO",
        "first_name": "XIAOYING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "IL",
            "license": "036-109886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prosalud6238 Inc
• Richard Pugh
• Pulmonary and Critical Care Physicians PC
• Aditi Puri, MD
• Kimberly Pyle, MD
• Tasha Quinn, M.ED., LCPC
• Lizette Herrera Quinones, OTR/L
• Mohammed Qureshi, M.D.
• Tuka Rachid
• Bruce Rachum, D.C.

• Anatomic Pathology Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Anatomic Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.