Active NPI
Teng Jiao Peng Zhao, MD
- Vascular Neurology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- ME161325
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 273-5550
- Fax
- (352) 273-5575
- NPI assigned
- Mar 30, 2017
- Last updated
- Jun 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 69102 | CT | |
| Neurology Physician | 2084N0400X | ME161325 | FL | |
| Vascular Neurology Physician | 2084V0102X | ME161325 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 100236
Gainesville, FL 32610-0236
Phone (352) 273-5550
Other practice location 1
20 York St
New Haven, CT 06510
Phone (203) 688-4242
Other practice location 2
3009 SW Williston Rd
Gainesville, FL 32608-3928
Phone (352) 294-5400
Other practice location 3
1505 SW Archer Rd
Gainesville, FL 32608-1134
Phone (352) 265-8408
Other practice location 4
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Other names 1
- Teng Jiao Peng
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 425-4700
1505 SW Archer Rd
Gainesville, FL 32608-1134
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Hospital & facility affiliations
- Uf Health Shands Hospital
- Halifax Health Medical Center
- Uf Health Leesburg Hospital
- Villages Regional Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161325 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients |
Locations
1505 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-8408
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
3009 SW Williston Rd
Gainesville, FL 32608
Phone (352) 294-5400
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- tpengzhao396353@direct.ynhh.org
- tpengzhao624931@direct.shands.ufl.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Halifax Medical Center
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba UF Health Medical Specialties Davis Cancer Pavilion
- Medical Specialty Clinic/Center
- Gainesville, FL
- NPI 1083403661
Hospital
-
dba UF Health Medical Specialties Medical Plaza
- Medical Specialty Clinic/Center
- Gainesville, FL
- NPI 1144019720
Hospital
-
dba UF Health Rehab Center San Felasco
- Rehabilitation Clinic/Center
- Alachua, FL
- NPI 1306717889
Hospital
-
dba UF Health Rehab Center Celebration Pointe
- Rehabilitation Clinic/Center
- Gainesville, FL
- NPI 1396616876
Hospital
-
dba UF Health Rehab Center for Kids Jonesville
- Rehabilitation Clinic/Center
- Newberry, FL
- NPI 1477424943
Hospital
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1699874248
-
dba UF Health Ocala Neighborhood Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1992542369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687564800000",
"number": "1093247827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100236",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100236",
"telephone_number": "352-273-5550",
"fax_number": "352-273-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-273-5550",
"fax_number": "352-273-5575"
}
],
"practiceLocations": [
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3009 SW Williston Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326083928",
"country_code": "US",
"telephone_number": "352-294-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326081134",
"country_code": "US",
"telephone_number": "352-265-8408",
"fax_number": "352-265-8409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENG ZHAO",
"first_name": "TENG",
"middle_name": "JIAO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2023-06-24",
"certification_date": "2023-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "69102",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME161325",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "FL",
"license": "ME161325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TENG",
"last_name": "PENG",
"middle_name": "JIAO",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.