JACK QIU MD
NPI 1720601735
Anesthesiology in Philadelphia, PA
About Jack Qiu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK QIU MD (NPI 1720601735) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA12823800) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in Turnersville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Qiu Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jack Qiu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Philadelphia, PA 19102
- Reassigned Medicare billing, Pennsylvania enrollment
- 600 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Jack Qiu's NPI number?
The NPI number for Jack Qiu is 1720601735. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Jack Qiu located?
Jack Qiu practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.
What is Jack Qiu's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jack Qiu enrolled in Medicare?
Yes. Jack Qiu 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.
Which organizations bill Medicare for Jack Qiu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Qiu reassigns Medicare benefits to 3 organizations: Jefferson University Physicians (Philadelphia, PA), Methodist Associates In Healthcare, Inc (Philadelphia, PA) and Methodist Associates In Healthcare Of New Jersey, P.C. (Sewell, NJ). 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 Jack Qiu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jack Qiu affiliated with any hospitals?
According to CMS data, Jack Qiu is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Jack Qiu was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jack Qiu, MD · NPI 1720601735
Anesthesiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1720601735 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 25MA12823800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH ST, Philadelphia, PA 19107-4870
- **Phone:** (215) 955-6161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jefferson University Physicians (NPI 1326093675, Philadelphia, PA); Methodist Associates In Healthcare, Inc (NPI 1508516451, Philadelphia, PA); Methodist Associates In Healthcare Of New Jersey, P.C. (NPI 1568078095, Sewell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720601735) · Data from the CMS NPPES public registry.