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SHAOKUN XU M.D.
NPI 1477085454
Anesthesiology in New York, NY

Active since March 30, 2017PECOS Enrolled
97.45/100
CMS Quality Rating
622 W 168TH ST, PH5-133, NEW YORK, NY 10032(212) 305-3226(212) 305-3204 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2021, Mar 30, 2017 (2 updates tracked since 2017).

About Shaokun Xu M.d. NPPES

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

SHAOKUN XU M.D. (NPI 1477085454) is an individual anesthesiology provider in New York, New York, licensed in New Jersey (25MA11069800) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477085454
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameSHAOKUN XUCredential: M.D.
Location Address622 W 168TH ST, PH5-133New York, NY 10032-3720
Mailing Address350 Engle StEnglewood, NJ 07631-1808
Phone(212) 305-3226
Fax(212) 305-3204
Sole ProprietorYes
Enumeration DateMarch 30, 2017
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2021
✔ NPI 1477085454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NJ · 25MA11069800
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
622 W 168TH ST, New York, NY 10032
Open in Google Maps ↗

Other Names 1

Other Name (5)Vanessa Xu M.d.

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaokun Xu M.d. 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 Reassignments

4

Medicare enrollment records show Shaokun Xu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Valley Anesthesiology, P.A.
4.6 mi
Anesthesiology
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Northern Valley Anesthesiology PA
  • 138 clinicians in this Medicare group
NPI 1245289487 (201) 871-6073
Morris Avenue Endoscopy LLC
23 mi
Anesthesiology
200 SHEFFIELD ST STE 101
Mountainside, NJ 07092
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1184778060 (908) 241-8900
Allied Digestive Health, LLC
39 mi
Gastroenterology
187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 406 clinicians in this Medicare group
NPI 1265831259 (732) 222-3805
Southern California Permanente Medical Group
2,430 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262
SAAGAR MADHAV PANDE
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100

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 Shaokun Xu's NPI number?

The NPI number for Shaokun Xu is 1477085454. It was assigned to this individual provider in the NPPES registry on March 30, 2017. The provider is also known as Vanessa Xu M.D..

Where is Shaokun Xu located?

Shaokun Xu practices at 622 W 168th St Ph5-133, New York, NY 10032. The listed phone number is (212) 305-3226.

What is Shaokun Xu's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shaokun Xu enrolled in Medicare?

Yes. Shaokun Xu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shaokun Xu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaokun Xu reassigns Medicare benefits to 4 organizations: Northern Valley Anesthesiology, P.A. (Englewood, NJ), Morris Avenue Endoscopy LLC (Mountainside, NJ), Allied Digestive Health, LLC (West Long Beach, NJ) and Southern California Permanente Medical Group (San Diego, CA). 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 Shaokun Xu'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 Shaokun Xu was last updated on December 22, 2023. 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.