NPIMap

Individual provider Active NPI

Kyle Yikuan Xu, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Miami, FL
National Provider Identifier
1942594023
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME145183 Issued in FL
Practice address
1120 NW 14TH St FL 4
Miami, FL 33136-2107
Phone
(305) 243-4500
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME145183 FL
Plastic and Reconstructive Surgery Physician 2086S0122X 2018015028 MO
Plastic and Reconstructive Surgery Physician 2086S0122X ME145183 FL Primary
Plastic Surgery Physician 208200000X ME145183 FL

Addresses

Primary practice location

1120 NW 14TH St FL 4
Miami, FL 33136-2107

Mailing address

1120 NW 14TH St FL 4
Miami, FL 33136-2107
Phone (305) 243-4500

Other practice location 1

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (267) 210-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201106000947 FL Practitioner - Plastic and Reconstructive Surgery 1355684432 Reassigns benefits to 1 organization
I20250507000369 VA Practitioner - Plastic and Reconstructive Surgery 1355684432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Plastic Surgery, PLLCGroup PAC ID 1658770375, 4 clinicians

Practice addresses (Care Compare)

1037 Champions Way
Suite 600
Suffolk, VA 23435-3767
Phone (757) 627-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision22
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018015028MOMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Plastic Surgery, PLLC Plastic Surgery CurrentSince Jul 1, 2025 Accepting new patients
University of Miami Current Accepting new patients
Nouvelle Plastic Surgery PLLC Plastic Surgery Current Accepting new patients
University of Miami CurrentSince Sep 25, 2020 Accepting new patients
University of Miami Plastic Surgery CurrentSince Sep 25, 2020 Accepting new patients

Locations

1321 NW 14th St
Miami, FL 33125
Phone (305) 689-5464

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1120 NW 14th St
Fl 4
Miami, FL 33136
Phone (305) 243-4500

1037 Champions Way
Ste 600
Suffolk, VA 23435
Phone (757) 627-6700

329 Phillip Ave
Virginia Beach, VA 23454
Phone (757) 226-8089

1120 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 523-2186

Interoperability endpoints

  • Direct secure messaging: kxu80493@direct.med.miami.edu
  • FHIR API: https://api.platform.athenahealth.com/23598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kyle.xu.1@23598.direct.athenahealth.com

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1942594023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST FL 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107",
            "telephone_number": "305-243-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST FL 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107",
            "telephone_number": "305-243-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 Vista Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102539",
            "country_code": "US",
            "telephone_number": "267-210-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "KYLE",
        "middle_name": "YIKUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME145183",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2018015028",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME145183",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME145183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.