XIAO HONG JIN MD
NPI 1467800599
Clinic/Center - Primary Care in Petersburg, VA

Active since May 31, 2016
15 GOODRICH AVE, PETERSBURG, VA 23805(804) 732-0618(804) 861-6846 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2023, Dec 28, 2022, Oct 20, 2020 and 3 more (6 updates tracked since 2016).

About Xiao Hong Jin Md NPPES

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

XIAO HONG JIN MD (NPI 1467800599) is a healthcare organization registered as a primary care in Petersburg, Virginia and active in the NPI registry since May 2016. The organization lists Xiao Hong Jin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467800599
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameXIAO HONG JIN MD PLLC
Location Address15 GOODRICH AVEPetersburg, VA 23805-2119
Mailing Address11619 Riverboat DrChester, VA 23836-5438 · (804) 943-3695 · Fax (804) 861-6846
Fax(804) 861-6846
Organization SubpartNo
Authorized OfficialXiao Hong JinMedical Director · (804) 732-0618
Enumeration DateMay 31, 2016
Last NPPES UpdateJanuary 30, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1467800599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
15 GOODRICH AVE, Petersburg, VA 23805

Other Names 1

Doing Business AsXiao Hong Jin Md

Other Identifiers 1

Medicaid1679766752VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xiao Hong Jin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Xiao Hong Jin MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1679766752
15 GOODRICH AVE
Petersburg, VA 23805
(804) 732-0618
✔ PECOSSame address

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

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 Xiao Hong Jin MD PLLC's NPI number?

The NPI number for Xiao Hong Jin MD PLLC is 1467800599. It was assigned to this organization in the NPPES registry on May 31, 2016. The provider is doing business as Xiao Hong Jin MD.

Where is Xiao Hong Jin MD PLLC located?

Xiao Hong Jin MD PLLC is located at 15 Goodrich Ave, Petersburg, VA 23805. The listed phone number is (804) 732-0618.

What is Xiao Hong Jin MD PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Xiao Hong Jin MD PLLC enrolled in Medicare?

Yes. Xiao Hong Jin MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Xiao Hong Jin MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Xiao Hong Jin MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Xiao Hong Jin MD PLLC was last updated on January 30, 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.