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

Dr. Wanwan Xu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700199551

Dr. Wanwan Xu, MD is an Ophthalmology in Saint Louis, Missouri. Graduated from University of Pittsburgh School of Medicine in 2010, 16 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
University of Pittsburgh School of Medicine
Licensed in
MO
In the registry since
2010
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

1402 S Grand Blvd 12th Fl N Desloge Towers Dept OF Internal Medicine
Saint Louis, MO 63104-1004
Phone: (314) 577-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 2010020475 (MO)

Record details

NPI number1700199551
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2010
Last updated in NPPESJanuary 14, 2022

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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