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

Jack Xu

Individual provider Internal Medicine Physician · NPI 1790239101

Jack Xu is a Cardiovascular Disease (Cardiology) in Winston Salem, North Carolina. Qualified in 2016, 10 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in Arkansas and North Carolina.

Years since qualifying
10
Licensed in
AR, NC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone: (336) 277-2000
Fax: (336) 277-2050
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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 2022-01767 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-12710 (AR)

Record details

NPI number1790239101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2016
Last updated in NPPESMarch 22, 2023
Certification dateOctober 11, 2022

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Winston Salem