Active NPI
Shu Zhang
- Geriatric Medicine (Family Medicine) Physician
- Beltsville, MD
National Provider Identifier
1336854108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- R210495
- Practice address
- 5801 Ammendale Rd Ste D
Beltsville, MD 20705-1217 - Phone
- (410) 900-6571
- Fax
- (301) 517-9291
- NPI assigned
- Jan 17, 2023
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | R210495 | MD | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | R210495 | MD | Primary |
Addresses
Primary practice location
5801 Ammendale Rd Ste D
Beltsville, MD 20705-1217
Mailing address
9200 Corporate Blvd Ste 330
Rockville, MD 20850-3864
Phone (410) 900-6571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231018002937 | MD | Practitioner - Nurse Practitioner | 9739534298 | Practice locations: Ellicott City, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1336854108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 CORPORATE BLVD STE 330",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503864",
"telephone_number": "410-900-6571",
"fax_number": "301-517-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 AMMENDALE RD STE D",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051217",
"telephone_number": "410-900-6571",
"fax_number": "301-517-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "SHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MD",
"license": "R210495",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MD",
"license": "R210495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.