XIANGDONG BU MD
NPI 1336108919
Pathology - Anatomic Pathology & Clinical Pathology in San Gabriel, CA
About Xiangdong Bu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
XIANGDONG BU MD (NPI 1336108919) is an individual anatomic pathology & clinical pathology provider in San Gabriel, California, licensed in California (A64084) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Xiangdong Bu 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.
Medicare Billing Reassignments
4Medicare enrollment records show Xiangdong Bu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Gabriel, CA 91776
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Greenbrae, CA 94904
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Atlantis, FL 33462
- Reassigned Medicare billing, Florida enrollment
- 143 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Jfk Hospital
Acute Care Hospitals · Atlantis, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Xiangdong Bu's NPI number?
The NPI number for Xiangdong Bu is 1336108919. It was assigned to this individual provider in the NPPES registry on March 21, 2006.
Where is Xiangdong Bu located?
Xiangdong Bu practices at 438 W Las Tunas Dr, San Gabriel, CA 91776. The listed phone number is (626) 570-6597.
What is Xiangdong Bu's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Xiangdong Bu enrolled in Medicare?
Yes. Xiangdong Bu 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.
Which organizations bill Medicare for Xiangdong Bu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Xiangdong Bu reassigns Medicare benefits to 4 organizations: San Gabriel Valley Consulting Pathologists Medical Group, Inc. (San Gabriel, CA), Contra Costa Pathology Associates (Walnut Creek, CA), Marin Medical Laboratories (Greenbrae, CA) and Integrated Regional Laboratories Pathology Services, LLC (Atlantis, FL). 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 Xiangdong Bu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Xiangdong Bu affiliated with any hospitals?
According to CMS data, Xiangdong Bu is affiliated with Hca Florida Jfk Hospital.
When was this NPI record last updated?
The NPPES record for Xiangdong Bu was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Xiangdong Bu, MD · NPI 1336108919
Anatomic Pathology & Clinical Pathology physician in San Gabriel, California. Individual provider, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1336108919 (Entity type: Individual)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** A64084 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 438 W LAS TUNAS DR, San Gabriel, CA 91776-1216
- **Phone:** (626) 570-6597
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): San Gabriel Valley Consulting Pathologists Medical Group, Inc. (NPI 1255390837, San Gabriel, CA); Contra Costa Pathology Associates (NPI 1437211646, Walnut Creek, CA); Marin Medical Laboratories (NPI 1447356811, Greenbrae, CA); Integrated Regional Laboratories Pathology Services, LLC (NPI 1942526298, Atlantis, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 00A640840 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336108919) · Data from the CMS NPPES public registry.