Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Chonglun Xie, MD

Individual provider Internal Medicine Physician · NPI 1861457459

Dr. Chonglun Xie, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 1986, 40 years ago. Practices with Physical Medicine Specialists, Inc, a 60-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
40
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5757 Booth Rd Ste 200
Jacksonville, FL 32207-5980
Phone: (904) 636-9510
Fax: (904) 636-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME92689 (FL)

Record details

NPI number1861457459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2006
Last updated in NPPESSeptember 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Physical Medicine Specialists, Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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