BAOGANG JONATHAN XU – Diagnostic Radiology Physician, NPI 1053731513
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 DIAGNOSTIC RADIOLOGY in TN
Provider Addresses for BAOGANG JONATHAN XU
PO BOX 844723
BOSTON, MA 022844723
Phone: (866) 759-4524
Type: Mailing
6019 WALNUT GROVE RD
DEPARTMENT OF RADIOLOGY, ATTN.: GINGER TUBBS
MEMPHIS, TN 381202113
Phone:
Type: Mailing
3000 COLISEUM DR
HAMPTON, VA 236665963
Phone: (757) 736-1621
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190611002313 | I | Diagnostic Radiology | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,045 | 919 | $0 |
| 70450 | Ct scan head or brain without contrast | 554 | 534 | $0 |
| 71046 | X-ray of chest, 2 views | 367 | 353 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 315 | 302 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 191 | 181 | $0 |
Insurance plans in this area (ZIP 02284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Physician Assistant | VA | |
| Diagnostic Radiology | NC | |
| Interventional Radiology, Diagnostic Radiology | IA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Pain Management, Diagnostic Radiology | PA | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | FL |
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