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FAN XIE MD
NPI 1073691697
Internal Medicine in Daly City, CA

Active since November 01, 2006PECOS Enrolled
395 HICKEY BLVD, DALY CITY, CA 94015(650) 742-2000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fan Xie Md NPPES

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

FAN XIE MD (NPI 1073691697) is an individual internal medicine provider in Daly City, California, licensed in California (A67319) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073691697
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFAN XIECredential: MD
Location Address395 HICKEY BLVDDaly City, CA 94015-2770
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(650) 742-2000
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 17, 2021
✔ NPI 1073691697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A67319
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
395 HICKEY BLVD, Daly City, CA 94015
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Other Identifiers 1

Medicaid00A673190CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Fan Xie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
8.4 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHILPA K CHARI MD
Obstetrics & Gynecology
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 742-2000
CHARITO P. SICO MD
Pediatrics
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 742-2050
DR. SHIRLEY YUEN REEVES O.D.
Optometrist
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 301-5800
RUTH E. SHABER MD
Obstetrics & Gynecology
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 742-2000
JOHN E. SKERRY MD
Ophthalmology
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 742-2000
SCOTT T. TSUNEHARA MD
Internal Medicine
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 742-2000
ANTHONY W LUI PHARMD
Pharmacist
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 308-4531
DR. DOUGLAS R. FREDRICK MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
395 HICKEY BLVD
DALY CITY, CA 94015
San Mateo County (650) 742-2000

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 Fan Xie's NPI number?

The NPI number for Fan Xie is 1073691697. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Fan Xie located?

Fan Xie practices at 395 Hickey Blvd, Daly City, CA 94015. The listed phone number is (650) 742-2000.

What is Fan Xie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fan Xie enrolled in Medicare?

Yes. Fan Xie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fan Xie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fan Xie reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Fan Xie'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 Fan Xie was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.