Individual provider Active NPI

Zhong Ye, M.D.

  • Dermatology Physician
  • Macomb, IL
National Provider Identifier
1255406518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Practice address
909 E Grant St
Macomb, IL 61455-3371
Phone
(309) 837-7546
Fax
(309) 837-2272
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X IL Primary

Addresses

Primary practice location

909 E Grant St
Macomb, IL 61455-3371

Mailing address

909 E Grant St
Macomb, IL 61455-3371
Phone (309) 837-7546

Other identifiers 1

IdentifierTypeStateIssuer
05507786OtherILBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000606 IL Practitioner - Dermatology 8123091097 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Illinois Medical Group, LLC Dermatology CurrentSince Jan 1, 2005 Accepting new patients

Locations

909 E Grant St
Macomb, IL 61455
Phone (309) 837-2000

909 E Grant St
Ste B
Macomb, IL 61455
Phone (309) 837-7546

909 E Grant St
Ste A
Macomb, IL 61455
Phone (309) 836-6772

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255406518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553371",
            "telephone_number": "309-837-7546",
            "fax_number": "309-837-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553371",
            "telephone_number": "309-837-7546",
            "fax_number": "309-837-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YE",
        "first_name": "ZHONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "05507786",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.