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DR. ANTONIO JI XU BM BCH
NPI 1124720404
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 20, 2023PECOS Enrolled
55 FRUIT ST # BH616, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Antonio Ji Xu Bm Bch NPPES

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

DR. ANTONIO JI XU BM BCH (NPI 1124720404) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124720404
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANTONIO JI XUCredential: BM BCH
Location Address55 FRUIT ST # BH616Boston, MA 02114-2696
Mailing Address55 Fruit St # Bh616Boston, MA 02114-2696
Phone(617) 726-2000
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1124720404 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.
55 FRUIT ST # BH616, Boston, MA 02114
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Antonio Ji Xu Bm Bch 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.

Other Providers at the Same Location NPPES 2

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

VICTORIA SIMONNE HUMPHREY MD
Student in an Organized Health Care Education/Training Program
55 FRUIT ST # BH616
BOSTON, MA 02114
Suffolk County (617) 726-5254
DR. KEVIN JOSEPH MOORE MD, MPH
Student in an Organized Health Care Education/Training Program
55 FRUIT ST # BH616
BOSTON, MA 02114
Suffolk County (774) 571-2568

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 Antonio Ji Xu's NPI number?

The NPI number for Antonio Ji Xu is 1124720404. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Antonio Ji Xu located?

Antonio Ji Xu practices at 55 Fruit St # Bh616, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Antonio Ji 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 Antonio Ji Xu enrolled in Medicare?

Yes. Antonio Ji Xu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Ji Xu was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.