Individual provider Active NPI

John QM Zhang, PA-C MPAS

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1295980399
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001056A Issued in IN
Practice address
8051 S Emerson Ave Ste 350
Indianapolis, IN 46237-8634
Phone
(317) 859-1020
Fax
(317) 859-4040
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001056A IN Primary

Addresses

Primary practice location

8051 S Emerson Ave Ste 350
Indianapolis, IN 46237-8634

Mailing address

6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 849-8350

Other practice location 1

7250 Clearvista Dr.
Ste 225
Indianapolis, IN 46256-5626
Phone (317) 537-6088

Other identifiers 1

IdentifierTypeStateIssuer
300003785MedicaidIN

Other names 1

  • Qun Ming Zhang Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@jwmn.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000069 IN Practitioner - Physician Assistant 4789730870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Josephson-Wallack-Munshower Neurology PCGroup PAC ID 6709868870, 59 clinicians

Practice addresses (Care Compare)

1400 N Ritter Ave
Suite 220
Indianapolis, IN 46219-3049
Phone (317) 715-5600

8051 S Emerson Ave
Suite 350
Indianapolis, IN 46237-8634
Phone (317) 859-1020

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as group
Promoting interoperability
56
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001056AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Josephson-Wallack-Munshower Neurology PC Past Accepting new patients
Major Hospital Past Accepting new patients
Indiana Neuroscience Assoc Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jzhang@jwmn.gwaydirect.com

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.

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1295980399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-849-8350",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378634",
            "telephone_number": "317-859-1020",
            "fax_number": "317-859-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Clearvista Dr.",
            "address_2": "Ste 225",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462565626",
            "country_code": "US",
            "telephone_number": "317-537-6088",
            "fax_number": "317-537-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JOHN",
        "middle_name": "QM",
        "credential": "PA-C MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001056A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003785",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@jwmn.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8051 S Emerson Ave Ste 350",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "QUN MING",
            "last_name": "ZHANG",
            "credential": "PA-C MPAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.