Individual provider Active NPI

Xinru Qian, MD

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1922193259
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
218615 Issued in NY
Practice address
14037 Cherry Ave
Suite 1a
Flushing, NY 11355-7818
Phone
(718) 661-4201
Fax
(718) 661-0066
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 218615 NY Primary

Addresses

Primary practice location

14037 Cherry Ave
Suite 1a
Flushing, NY 11355-7818

Mailing address

14037 Cherry Ave
Suite 1a
Flushing, NY 11355-7818
Phone (718) 661-4201

Other identifiers 1

IdentifierTypeStateIssuer
02206715MedicaidNY

Other names 1

  • Dr. Xinruq Qian Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040713001502 NY Practitioner - Physical Medicine and RehabilitationPractitioner - General Practice 1850379900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14037 Cherry Ave
Suite 1a
Flushing, NY 11355-7805
Phone (718) 661-4201

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: xqian44192@nyumc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1922193259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14037 CHERRY AVE",
            "address_2": "SUITE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113557818",
            "telephone_number": "718-661-4201",
            "fax_number": "718-661-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14037 CHERRY AVE",
            "address_2": "SUITE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113557818",
            "telephone_number": "718-661-4201",
            "fax_number": "718-661-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAN",
        "first_name": "XINRU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "218615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02206715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XINRUQ",
            "last_name": "QIAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.