MS. XIAOYAN WU MD
NPI 1053759209
Pediatrics - Pediatric Nephrology in Buffalo, NY

Q: What is Xiaoyan Wu's NPI number?

The NPI number for Xiaoyan Wu is 1053759209. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Q: What is Xiaoyan Wu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Xiaoyan Wu was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment

1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 323-0140(716) 323-0296 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2023, Dec 23, 2019, Aug 1, 2017 and 2 more (5 updates tracked since 2017).

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About Ms. Xiaoyan Wu Md NPPES

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

MS. XIAOYAN WU MD (NPI 1053759209) is an individual pediatric nephrology provider in Buffalo, New York, licensed in Texas (45935) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Amherst, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1053759209

Entity TypeIndividualFemale

Primary Taxonomy2080P0210X

Provider Legal NameMS. XIAOYAN WUCredential: MD

Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009

Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0140 · Fax (716) 323-0296

Phone(716) 323-0140

Fax(716) 323-0296

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateJune 10, 2013

Last NPPES UpdateFebruary 20, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2023

✔ NPI 1053759209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Licenses✔ Licensed in TX · 45935✔ Licensed in NY · 291391

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

1001 MAIN ST FL 4, Buffalo, NY 14203

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Secondary Practice Location 1

Location 11404 Sweet Home Rd Ste 5Amherst, NY 14228-2778 · Phone (716) 639-9360 · Fax (716) 323-0296

Other Identifiers 2

Medicaid04930250NY

Medicaid2080P0210XTX

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

Ms. Xiaoyan Wu Md 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 ID5991077075

PECOS Enrollment IDI20180115000079

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.

DR. MONA BONANNO M.D.

Pediatrics