Active NPI
Connie S. Zhong
- Dermatology Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 86061
- Practice address
- 4621 Eastpark Blvd
Madison, WI 53718-2000 - Phone
- (608) 914-0400
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 1018824 | MA | |
| Dermatology Physician | 207N00000X | 86061 | WI | Primary |
Addresses
Primary practice location
4621 Eastpark Blvd
Madison, WI 53718-2000
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Harvard Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 Longwood Ave
Boston, MA 02115-5804
Phone (617) 732-5500
4621 Eastpark Blvd
Madison, WI 53718-2000
Phone (608) 914-0100
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
850 Boylston St
Chestnut Hill, MA 02467-2477
Phone (617) 732-5500
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
- Brigham and Women'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 241 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018824 | MA | MD | Dermatology Physician |
| 86061 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Dermatology | Current | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
4621 Eastpark Blvd
Madison, WI 53718
Phone (608) 914-0100
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Dermatology
-
- Health Educator
- Madison, WI
- NPI 1487414082
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1194352138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 EASTPARK BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537182000",
"telephone_number": "608-914-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHONG",
"first_name": "CONNIE",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "1018824",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "86061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.