NPIMap

Individual provider Active NPI

Xudong Xu, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1992701908
Registry record updated Sep 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9967 Issued in TX
Practice address
9160 Bellaire Blvd
Suite E
Houston, TX 77036
Phone
(713) 995-8886
Fax
(713) 270-9358
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9967 TX Primary

Addresses

Primary practice location

9160 Bellaire Blvd
Suite E
Houston, TX 77036

Mailing address

9160 Bellaire Blvd
Ste E
Houston, TX 77036-4632
Phone (713) 995-8886

Other identifiers 3

IdentifierTypeStateIssuer
170666501MedicaidTX
8M8351OtherBCBS
7311578OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000602 TX Practitioner - Family Practice 4183685340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welcome Family Medicine PAGroup PAC ID 8820059082, 2 clinicians

Practice addresses (Care Compare)

9160 Bellaire Blvd
Suite E
Houston, TX 77036-4632
Phone (713) 995-8886

Hospital & facility affiliations

  • Advanced Healthcare Services Inc Home health agency, Stafford, TX, CCN 677827
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9967TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Welcome Family Medicine, PA Family Medicine CurrentSince Oct 1, 2004 Accepting new patients
Conroe Medihealth Associates PA Family Medicine Past Accepting new patients
Hillcroft Medihealth Associates PA Family Medicine Past Accepting new patients
Conroe Clinic Corporation Past Accepting new patients

Locations

9160 Bellaire Blvd
Ste E
Houston, TX 77036
Phone (713) 995-8886

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEAJCA
  • Direct secure messaging: xudong.xu@wfmp.eclinicaldirectplus.com

Organizations & group practices 4

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 10

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538265600000",
    "number": "1992701908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 BELLAIRE BLVD",
            "address_2": "STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364632",
            "telephone_number": "713-995-8886",
            "fax_number": "713-270-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BELLAIRE BLVD",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-995-8886",
            "fax_number": "713-270-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "XUDONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170666501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M8351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7311578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.