DR. WANWAN XU M.D.
NPI 1700199551
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since July 22, 2010PECOS EnrolledAccepts Medicare Assignment
1402 S GRAND BLVD, 12TH FLOOR N, DESLOGE TOWERS, DEPT OF INTERNAL MEDICINE, SAINT LOUIS, MO 63104(314) 577-8760 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wanwan Xu M.d. NPPES

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

DR. WANWAN XU M.D. (NPI 1700199551) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2010020475) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2010).

NPPES Registry Identity

NPI1700199551
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. WANWAN XUCredential: M.D.
Location Address1402 S GRAND BLVD, 12TH FLOOR N, DESLOGE TOWERS, DEPT OF INTERNAL MEDICINESaint Louis, MO 63104-1004
Mailing Address1402 S Grand Blvd, 12th Floor N, Desloge Towers, Dept Of Internal MedicineSaint Louis, MO 63104-1004
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2010
Enumeration DateJuly 22, 2010
Last NPPES UpdateJanuary 14, 2022
NPI 1700199551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MO · 2010020475
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S GRAND BLVD, Saint Louis, MO 63104

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. Wanwan Xu 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 ID4587974878
PECOS Enrollment IDI20151117002931
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.

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.

Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Wanwan Xu's NPI number?

The NPI number for Wanwan Xu is 1700199551. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Wanwan Xu located?

Wanwan Xu practices at 1402 S Grand Blvd 12th Floor N, Desloge Towers, Dept Of Internal Medicine, Saint Louis, MO 63104. The listed phone number is (314) 577-8760.

What is Wanwan Xu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wanwan Xu enrolled in Medicare?

Yes. Wanwan Xu 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.

When was this NPI record last updated?

The NPPES record for Wanwan Xu was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.