NPIMap

Individual provider Active NPI

XI Zheng, M.D.,PH.D.

  • Internal Medicine Physician
  • Gresham, OR
National Provider Identifier
1124331392
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD179152 Issued in OR
Practice address
340 NW Burnside Rd
Gresham, OR 97030-3852
Phone
(971) 432-7500
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 272309 NY
Internal Medicine Physician 207R00000X MD179152 OR Primary

Addresses

Primary practice location

340 NW Burnside Rd
Gresham, OR 97030-3852

Mailing address

PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778

Other practice location 1

1049 Edgewater St NW
Salem, OR 97304-4046
Phone (503) 814-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161101001791 OR Practitioner - Internal Medicine 5092093716 Reassigns benefits to 1 organization
I20220729002003 WA Practitioner - Internal Medicine 5092093716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

340 NW Burnside Rd
Gresham, OR 97030-3852
Phone (360) 882-2778

700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Portland, OR, CCN 387047
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272309NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS CurrentSince Feb 28, 2022 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Apr 20, 2022 Accepting new patients
The Vancouver Clinic Inc PS Internal Medicine CurrentSince Feb 28, 2022 Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

340 NW Burnside Rd
Gresham, OR 97030
Phone (971) 432-7500

1200 NE Broadway St
Ste 20
Portland, OR 97232
Phone (971) 432-7555

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: xzheng19326@tvc-direct.org
  • Direct secure messaging: xzheng156345@direct.salemhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1124331392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4825",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084825",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303852",
            "telephone_number": "971-432-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Edgewater St NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973044046",
            "country_code": "US",
            "telephone_number": "503-814-4400",
            "fax_number": "503-814-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "XI",
        "name_prefix": "Ms.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD179152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.