MR. JACK XIE
NPI 1831466259
Physician Assistant in New York, NY
About Mr. Jack Xie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK XIE (NPI 1831466259) is an individual physician assistant in New York, New York, licensed in New York (015291) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jack Xie 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai St Luke's Roosevelt Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
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 Xie's NPI number?
The NPI number for Jack Xie is 1831466259. It was assigned to this individual provider in the NPPES registry on November 30, 2011.
Where is Jack Xie located?
Jack Xie practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-4000.
What is Jack Xie's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jack Xie enrolled in Medicare?
Yes. Jack Xie 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 Jack Xie affiliated with any hospitals?
According to CMS data, Jack Xie is affiliated with Mount Sinai St Luke's Roosevelt Hospital.
When was this NPI record last updated?
The NPPES record for Jack Xie was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Jack Xie · NPI 1831466259
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since November 30, 2011.
## Identity
- **NPI:** 1831466259 (Entity type: Individual)
- **Enumerated:** November 30, 2011
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 015291 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 10TH AVE, New York, NY 10019-1147
- **Phone:** (212) 523-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831466259) · Data from the CMS NPPES public registry.