Active NPI
Zhenqiang Gao, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Practice address
- 701 N 1St St
Springfield, IL 62702-3757 - Phone
- (217) 788-3000
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62702-3757
Mailing address
25517 75TH Ave
Glen Oaks, NY 11004-1116
Phone (401) 444-4384
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070712000600 | IL | Practitioner - Pathology | 3072613546 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Associates of Central Illinois LTD
Practice addresses (Care Compare)
701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3000
800 N Rutledge St
Springfield, IL 62781-0002
Phone (217) 788-3000
Hospital & facility affiliations
- Memorial Medical Center
- Decatur Memorial Hospital
- The University of Chicago Medical Center
- Taylorville Memorial Hospital
- Carlinville Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-118105 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Central Illi | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Associates of Central Illinois LTD | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
6450 Reliable Pkwy
Chicago, IL 60686
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
701 N 1st St
Springfield, IL 62702
Phone (217) 545-0182
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1548363138
Anatomic Pathology & Clinical Pathology, IL
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, IL
- NPI 1447402391
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467669259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25517 75TH AVE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041116",
"telephone_number": "401-444-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023757",
"telephone_number": "217-788-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "ZHENQIANG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.