JENNIFER JIE XU (DO) – Emergency Medicine Physician, NPI 1003483223

JENNIFER JIE XU (DO) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OT020769 (PA). The NPI Number for JENNIFER JIE XU (DO) is 1003483223

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JIE XU (DO)
NPI
1003483223
Phone
(215) 612-5161
Address
10800 KNIGHTS RD
Enumeration Date
7 June 2021
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6093034000
Graduation Year
2021 (5 years ago)
PAC ID
5890190540
Group Practice PAC ID
1850689894
Professional Enrollment ID
I20250710001765
Address ID
NJ085342520PE1XXXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for JENNIFER JIE XU (DO)

  • 10800 KNIGHTS RD

    PHILADELPHIA, PA 191144200

    Phone: (215) 612-5161

    Type: Mailing

  • 10800 Knights Rd

    Philadelphia, PA 191144200

    Phone: (215) 612-5161

    Type: Location

  • 750 Brunswick Ave

    Trenton, NJ 086384143

    Phone: (609) 394-6063

    Type: Location

  • 1 CAPITAL WAY

    PENNINGTON, NJ 085342520

    Phone: (609) 303-4010

    Type: Mailing

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: 2025-07-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250710001765IEmergency MedicineNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850689894View full group profile
NameSpecialtyState
-NJ
Certified Nurse Midwife (Cnm)NJ
Internal MedicineNJ
Physician AssistantNJ
Emergency MedicineNJ
Internal Medicine, Emergency MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
-NJ
Emergency MedicineNJ

Reviews

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Frequently asked questions

Can I verify JENNIFER JIE XU (DO) with an NPI only?
You can start verification with NPI 1003483223 for JENNIFER JIE XU (DO), then check state licensing separately.
Does CMS list JENNIFER JIE XU (DO) as active?
Yes — JENNIFER JIE XU (DO) is active in the NPI listing used on this page.
What is JENNIFER JIE XU (DO) best known for clinically?
Directory data describes JENNIFER JIE XU (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JENNIFER JIE XU (DO) list a practice location?
Patients near Philadelphia, Pennsylvania may find JENNIFER JIE XU (DO) in results; validate coverage separately.
Why does JENNIFER JIE XU (DO) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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