TAILONG XU
NPI 1043889504
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since June 20, 2021PECOS EnrolledAccepts Medicare Assignment
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0434 Get Directions Write a Review

NPPES record last updated: June 20, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tailong Xu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAILONG XU (NPI 1043889504) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2021).

NPPES Registry Identity

NPI1043889504
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAILONG XU
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0434
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2021
Enumeration DateJune 20, 2021
NPPES CertifiedJune 20, 2021
NPI 1043889504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1501 KINGS HWY, Shreveport, LA 71103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tailong Xu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315401916
PECOS Enrollment IDI20260715000165
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tailong Xu's NPI number?

The NPI number for Tailong Xu is 1043889504. It was assigned to this individual provider in the NPPES registry on June 20, 2021.

Where is Tailong Xu located?

Tailong Xu practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0434.

What is Tailong Xu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tailong Xu enrolled in Medicare?

Yes. Tailong Xu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tailong Xu was last updated on June 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.