Active NPI
Sam Xiang-Ming Zheng, MD
- Anesthesiology Physician
- South Bend, IN
National Provider Identifier
1194707281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01055569
- Practice address
- 416 E Monroe St
Ste 200
South Bend, IN 46601-2371 - Phone
- (574) 232-8119
- Fax
- (574) 288-0235
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01055569 | IN | Primary |
Addresses
Primary practice location
416 E Monroe St
Ste 200
South Bend, IN 46601-2371
Mailing address
416 E Monroe St
Ste 200
South Bend, IN 46601-2371
Phone (574) 232-8119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352149231 | Other | IN | TAX ID |
| 200362590 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809004094 | SC | Practitioner - Anesthesiology | 6204813561 | Reassigns benefits to 2 organizations |
| I20220908001421 | NC | Practitioner - Anesthesiology | 6204813561 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstream Anesthesia PLLCAnesthesia Associates of Rock Hill PA
Practice addresses (Care Compare)
117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711
222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 985-3089
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111
Hospital & facility affiliations
- Conway Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055569 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Goshen Anesthesiology LLC | Past | Accepting new patients | |
| Sunset Coast Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
Locations
117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Anesthesiology, NC, SC
-
- Specialist
- Goshen, IN
- NPI 1528014362
-
- Certified Registered Nurse Anesthetist
- Saint Joseph, MI
- NPI 1053382572
Anesthesiology
Hospital & facility affiliations 13
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": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1194707281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E MONROE ST",
"address_2": "STE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012371",
"telephone_number": "574-232-8119",
"fax_number": "574-288-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E MONROE ST",
"address_2": "STE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012371",
"telephone_number": "574-232-8119",
"fax_number": "574-288-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHENG",
"first_name": "SAM",
"middle_name": "XIANG-MING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01055569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "352149231",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200362590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.