Physician Compare National (NPI:1487975157)

HEALTHCARE PROVIDER: TING YU 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	1487975157
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234438631
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171113003090
	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	TING YU
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	STEWARD MEDICAL GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2860688728
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1543
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	825 WASHINGTON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 240
	Group Practice or individual's line 2 address
City	NORWOOD
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	020623488
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5085285840
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORWOOD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	220111
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GOOD SAMARITAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y