Individual provider Active NPI

Yan Zhao, M.D.

  • Hematology & Oncology Physician
  • Gastonia, NC
National Provider Identifier
1124462379
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
201802725 Issued in NC
Practice address
2711 X Ray Dr Ste 3701
Gastonia, NC 28054-7491
Phone
(980) 834-9600
Fax
(980) 834-9605
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 201802725 NC Primary

Addresses

Primary practice location

2711 X Ray Dr Ste 3701
Gastonia, NC 28054-7491

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171019003314 AL Practitioner - Medical OncologyPractitioner - Hematology 4981844461 Reassigns benefits to 1 organization
I20190816001501 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4981844461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2711 X Ray Dr
Suite 3701
Gastonia, NC 28054-7491
Phone (980) 384-9600

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201802725NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2019 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 15, 2021 Accepting new patients
Birmingham Hematology Oncology Assoc LLC Hematology & Oncology CurrentSince Jul 1, 2017 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Hematology & Oncology CurrentSince Sep 1, 2019 Accepting new patients
Caromont Medical Group, Inc. Hematology & Oncology CurrentSince Jun 15, 2021 Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

737 Memorial Dr
Ste 2
Bessemer, AL 35022
Phone (205) 481-4511

5000 Medical West Way
Ste 610
Bessemer, AL 35022
Phone (205) 481-4511

2728 10th Ave S
#200
Birmingham, AL 35205
Phone (205) 939-7800

500 Office Park Dr
Ste 400
Mountain Brk, AL 35223
Phone (205) 803-4384

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2711 X Ray Dr
Ste 3701
Gastonia, NC 28054
Phone (980) 384-9600

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

2630 Willard Dairy Rd
Ste 300
High Point, NC 27265
Phone (336) 884-3888

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

Organizations & group practices 7

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 1

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1124462379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 X RAY DR STE 3701",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547491",
            "telephone_number": "980-834-9600",
            "fax_number": "980-834-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "201802725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.