Individual provider Active NPI

Rong Xu

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1992963243
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036123417 Issued in IL
Practice address
15 S California Ave
Chicago, IL 60612-3640
Phone
(773) 257-6552
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P21252 MD
Internal Medicine Physician 207R00000X 036123417 IL Primary

Addresses

Primary practice location

15 S California Ave
Chicago, IL 60612-3640

Mailing address

6752 N Sauganash Ave
Apt 2B
Chicago, IL 60646-1543

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090904000332 IL Practitioner - Internal Medicine 3870648348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

  • Moments Hospice of Chicago South LLC Hospice, Willowbrook, IL, CCN 141716
  • Capital Hospice & Palliative Care LLC Hospice, Oakbrook Terrace, IL, CCN 141661
  • Aperion Care International Nursing home, Chicago, IL, CCN 146001
  • Oak Park Oasis Nursing home, Oak Park, IL, CCN 145714
  • Ryze West Nursing home, Chicago, IL, CCN 145661

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P21252MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Internal Medicine CurrentSince Nov 10, 2009 Accepting new patients
Mount Sinai Community Foundation Dba Sinai Medical Group CurrentSince Nov 10, 2009 Accepting new patients
Physicians Medical Services, LTD. Internal Medicine CurrentSince Jun 21, 2014 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients

Locations

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200

9525 Mayfield Ave
Oak Lawn, IL 60453
Phone (708) 636-7000

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

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 5

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1992963243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 N SAUGANASH AVE",
            "address_2": "APT 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123640",
            "telephone_number": "773-257-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "RONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P21252",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036123417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.