Individual provider Active NPI

Tao Zhang, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
National Provider Identifier
1285616599
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME80603 Issued in FL
Practice address
2013 Ponce de Leon Ave
Pal Beach Pathology PA
West Palm Beach, FL 33411-6019
Phone
(561) 659-0770
Fax
(561) 802-3504
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME80603 FL Primary

Addresses

Primary practice location

2013 Ponce de Leon Ave
Pal Beach Pathology PA
West Palm Beach, FL 33411-6019

Mailing address

300 Butler St
Palm Beach Pathology PA
West Palm Beach, FL 33407-6006
Phone (561) 659-0770

Other identifiers 2

IdentifierTypeStateIssuer
35643OtherFLBLUE CROSS BLUE SHIELD
259397100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100130000116 FL Practitioner - Pathology 5597808550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Pathology, PAGroup PAC ID 1658350350, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 642-2998

310 SE Veranda Falls Way
Port Saint Lucie, FL 34984-2101
Phone (772) 309-8581

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 642-2998

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 642-2998

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288
  • CCN 100366 Hospital, CCN 100366
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2000 Accepting new patients
Palm Beach Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2000 Accepting new patients
App-PBP, LLC Current Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2000 Accepting new patients
Acupath Inc Past Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

2013 Ponce de Leon Ave
West Palm Beach, FL 33407
Phone (561) 659-0770

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 5

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1285616599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BUTLER ST",
            "address_2": "PALM BEACH PATHOLOGY PA",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076006",
            "telephone_number": "561-659-0770",
            "fax_number": "561-802-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PONCE DE LEON AVE",
            "address_2": "PAL BEACH PATHOLOGY PA",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116019",
            "telephone_number": "561-659-0770",
            "fax_number": "561-802-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "TAO",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME80603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35643",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259397100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.