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Physician Compare National (NPI:1104003342)

HEALTHCARE PROVIDER: JAMES XUNHAI XU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1104003342
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557541125
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20131217001137
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name XU
Individual professional last name
Provider First Name JAMES
Individual professional first name
Provider Middle Name X
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 HEMATOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 MEDICAL ONCOLOGY
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties HEMATOLOGY, MEDICAL ONCOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 6000 EXECUTIVE BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 501
Group Practice or individual's line 2 address
City ROCKVILLE
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 208523848
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 210004
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOLY CROSS HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 210065
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOLY CROSS GERMANTOWN HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 210057
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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