Individual provider Active NPI

Gang K Zhang, MD

  • Urology Physician
  • St Louis Park, MN
National Provider Identifier
1447238373
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD61394213 Issued in WA
Practice address
3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone
(952) 993-3180
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 30338 MN
Urology Physician 208800000X MD61394213 WA Primary

Addresses

Primary practice location

3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503

Mailing address

6465 Wayzata Blvd
Ste 315
Minneapolis, MN 55426-1728

Other practice location 1

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 814-6565

Other practice location 2

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gzhang44798@skagit.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, WA, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060103000260 MN Practitioner - Urology 5092737288 Reassigns benefits to 4 organizations
I20221012001925 IL Practitioner - Urology 5092737288 Reassigns benefits to 1 organization
I20230913002852 WA Practitioner - Urology 5092737288 Reassigns benefits to 1 organization
I20260402000374 IN Practitioner - Urology 5092737288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians

Practice addresses (Care Compare)

1025 Michigan Ave
Suite 215
Logansport, IN 46947-1594
Phone (574) 753-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Sep 6, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Fairview Clinics CurrentSince Nov 12, 2010 Accepting new patients
Group Health, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Group Health, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Park Nicollet Clinic CurrentSince Sep 6, 1991 Accepting new patients
Park Nicollet Clinic CurrentSince Sep 6, 1991 Accepting new patients
Group Health, Inc. Current Accepting new patients
Olmsted Medical Center CurrentSince Aug 8, 2022 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Fairview Health Services CurrentSince Nov 12, 2010 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Fairview Health Services Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 14, 2023 Accepting new patients
Columbia Park Medical Group, PA Urology Past Accepting new patients

Locations

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

3900 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 993-3017

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1950 NW Myhre Rd
Silverdale, WA 98383
Phone (560) 240-4000

Interoperability endpoints

  • Direct secure messaging: gzhang44798@skagit.direct-ci.com
  • Direct secure messaging: gzhang21833@direct.olmmed.org
  • Direct secure messaging: gzhangmd354913@carlehiedirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1447238373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "STE 315",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PARK NICOLLET BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162503",
            "telephone_number": "952-993-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Kincaid St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982744127",
            "country_code": "US",
            "telephone_number": "360-814-6565",
            "fax_number": "360-814-6380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "GANG",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "30338",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD61394213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gzhang44798@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 E Kincaid St",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982744127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.