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

Dr. Jason Shi Samuel Xie, MD, MSC

Individual provider Psychiatry Physician · NPI 1851917645

Dr. Jason Shi Samuel Xie, MD, MSC practises Psychiatry in New York, New York. Qualified in 2020, 6 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and New York.

Years since qualifying
6
Licensed in
MO, NY
In the registry since
2020
Specialties on file
4
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

177 Fort Washington Ave
New York, NY 10032-3733
Phone: (212) 305-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 362-5000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 327674 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2020018991 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2022037479 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851917645
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MSC
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Trustees of Columbia University in the City of New York

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2250 clinicians in the practice; 12 are shown here.

Other providers in New York