DR. DANHUA XIAO M.D.
NPI 1649538141
Internal Medicine in Summit, NJ

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
33 OVERLOOK RD, SUITE 208, SUMMIT, NJ 07901(908) 522-5794 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2019, Feb 9, 2016 (2 updates tracked since 2016).

About Dr. Danhua Xiao M.d. NPPES

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

DR. DANHUA XIAO M.D. (NPI 1649538141) is an individual internal medicine provider in Summit, New Jersey, licensed in New Jersey (25MA09061900) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1649538141
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANHUA XIAOCredential: M.D.
Location Address33 OVERLOOK RD, SUITE 208Summit, NJ 07901-3570
Mailing AddressPo Box 416457Boston, MA 02241-6457
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 3, 2012
Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration
NPI 1649538141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA09061900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
33 OVERLOOK RD, Summit, NJ 07901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Danhua Xiao M.d. 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.

PECOS PAC ID4789833518
PECOS Enrollment IDI20121011000045
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services79 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers20 claims606 services$2.44 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims10,116 services$0.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Psychiatry)
33 OVERLOOK RD, SUITE 210
SUMMIT, NJ 07901
Nurse Practitioner
33 OVERLOOK RD
SUMMIT, NJ 07901
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Family Medicine
33 OVERLOOK RD, 103
SUMMIT, NJ 07901
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Surgery (Plastic and Reconstructive Surgery)
33 OVERLOOK RD, SUITE 310
SUMMIT, NJ 07901
Orthopaedic Surgery
33 OVERLOOK RD, SUITE 202
SUMMIT, NJ 07901
Physical Therapist
33 OVERLOOK RD, SUITE 203
SUMMIT, NJ 07901

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 Danhua Xiao's NPI number?

The NPI number for Danhua Xiao is 1649538141. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Danhua Xiao located?

Danhua Xiao practices at 33 Overlook Rd Suite 208, Summit, NJ 07901. The listed phone number is (908) 522-5794.

What is Danhua Xiao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Danhua Xiao enrolled in Medicare?

Yes. Danhua Xiao 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.

Is Danhua Xiao affiliated with any hospitals?

According to CMS data, Danhua Xiao is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Danhua Xiao was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.