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DR. XIAOLU XU MD, PHD
NPI 1639674856
Plastic Surgery in New York, NY

Active since March 28, 2018PECOS Enrolled
820 PARK AVE # 1B, NEW YORK, NY 10021(212) 300-9873 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2024, Aug 12, 2024, Mar 28, 2018 (3 updates tracked since 2018).

About Dr. Xiaolu Xu Md, Phd NPPES

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

DR. XIAOLU XU MD, PHD (NPI 1639674856) is an individual plastic surgery provider in New York, New York, licensed in New York (329438) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639674856
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. XIAOLU XUCredential: MD, PHD
Location Address820 PARK AVE # 1BNew York, NY 10021-2758
Mailing Address92 Millburn Ave # 132Springfield, NJ 07081-4300 · (203) 492-9485
Phone(212) 300-9873
Sole ProprietorYes
Enumeration DateMarch 28, 2018
Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1639674856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in NY · 329438✔ Licensed in FL · ME169674
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
820 PARK AVE # 1B, New York, NY 10021
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Other Identifiers 1

MedicaidME169674FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Xiaolu Xu Md, Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Xiaolu Xu's NPI number?

The NPI number for Xiaolu Xu is 1639674856. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Xiaolu Xu located?

Xiaolu Xu practices at 820 Park Ave # 1B, New York, NY 10021. The listed phone number is (212) 300-9873.

What is Xiaolu Xu's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Xiaolu Xu enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Xiaolu Xu was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.