Individual provider Active NPI

Zi Roger Zhang, M.D

  • Nephrology Physician
  • Wynnewood, PA
National Provider Identifier
1487005351
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD481207 Issued in PA
Practice address
100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453
Phone
(610) 649-1175
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD481207 PA
Nephrology Physician 207RN0300X MD481207 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453

Mailing address

100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453
Phone (610) 649-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220309002706 IL Practitioner - Nephrology 6507158508 Reassigns benefits to 1 organization
I20230608000862 PA Practitioner - NephrologyPractitioner - Internal Medicine 6507158508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 164E
Wynnewood, PA 19096-3427
Phone (610) 649-1175

Hospital & facility affiliations

  • FKC Overbrook Dialysis facility, Philadelphia, PA, CCN 392781
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481207PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC Nephrology CurrentSince Jun 25, 2023 Accepting new patients
Southwest Nephrology Associates, S.C. Nephrology CurrentSince Apr 1, 2022 Accepting new patients
Nephrology Associates Inc Nephrology PastSince Jun 18, 2023 Accepting new patients

Locations

9125 S Pulaski Rd
Evergreen Pk, IL 60805
Phone (708) 422-7715

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

120 W 22nd St
Oak Brook, IL 60523

16605 107th St
Orland Park, IL 60467
Phone (708) 226-9860

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

100 E Lancaster Ave
Ste 164E
Wynnewood, PA 19096

100 E Lancaster Ave
Ste 130
Wynnewood, PA 19096
Phone (610) 649-8089

Interoperability endpoints

  • Direct secure messaging: zzhang55524@direct.acumenmd.com

Organizations & group practices 3

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 6

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1487005351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 130",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963453",
            "telephone_number": "610-649-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 130",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963453",
            "telephone_number": "610-649-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "ZI",
        "middle_name": "ROGER",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD481207",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD481207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.