Individual provider Active NPI

Li Zuo, MD

  • Allergy & Immunology Physician
  • Duluth, GA
National Provider Identifier
1023225190
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
75964 Issued in GA
Practice address
3790 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-5142
Phone
(678) 837-5224
Fax
(404) 860-1298
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 75964 GA
Allergy & Immunology Physician 207K00000X 75964 GA Primary

Addresses

Primary practice location

3790 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-5142

Mailing address

3500 Duluth Park LN
Ste 820
Duluth, GA 30096-3243
Phone (678) 837-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170309000743 GA Practitioner - Allergy/Immunology 2466539747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3500 Duluth Park LN
Suite 820
Duluth, GA 30096-3243
Phone (678) 837-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75964GAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Allergy Asthma and Immunology LLC CurrentSince Dec 22, 2016 Accepting new patients

Locations

3790 Pleasant Hill Rd
Ste 200
Duluth, GA 30096
Phone (678) 837-5224

3500 Duluth Park Ln
Ste 820
Duluth, GA 30096
Phone (678) 837-5224

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1023225190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "STE 820",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963243",
            "telephone_number": "678-837-5224",
            "fax_number": "404-860-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 PLEASANT HILL RD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965142",
            "telephone_number": "678-837-5224",
            "fax_number": "404-860-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUO",
        "first_name": "LI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "75964",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "75964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.