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XIAOPENG CONG MD
NPI 1063226538
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since February 05, 2025PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Xiaopeng Cong Md NPPES

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

XIAOPENG CONG MD (NPI 1063226538) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063226538
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameXIAOPENG CONGCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 5, 2025
Last NPPES UpdateFebruary 9, 2025
NPPES CertifiedFebruary 9, 2025
✔ NPI 1063226538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xiaopeng Cong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860974607
PECOS Enrollment IDI20260302003595
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Xiaopeng Cong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Four Season Medical PLLC
20 mi
Internal Medicine
2041 86TH ST
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1447785316 (718) 680-8881

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Xiaopeng Cong's NPI number?

The NPI number for Xiaopeng Cong is 1063226538. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Xiaopeng Cong located?

Xiaopeng Cong practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Xiaopeng Cong's specialty?

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

Is Xiaopeng Cong enrolled in Medicare?

Yes. Xiaopeng Cong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Xiaopeng Cong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xiaopeng Cong reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Four Season Medical PLLC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Xiaopeng Cong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Xiaopeng Cong was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.