Individual provider Active NPI

Summer Ruonan Zhang, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1508106022
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263074 Issued in NY
Practice address
13259 41St Rd
Suite CB
Flushing, NY 11355-4257
Phone
(718) 939-6234
Fax
(718) 939-6235
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 263074 NY Primary

Addresses

Primary practice location

13259 41St Rd
Suite CB
Flushing, NY 11355-4257

Mailing address

13259 41St Rd
Suite CB
Flushing, NY 11355-4257
Phone (718) 939-6234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000167 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 8628214145 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263074NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince May 23, 2015 Accepting new patients
Flushing Hospital Medical Center CurrentSince May 23, 2015 Accepting new patients
Focus Medical Health PLLC Internal Medicine Past Accepting new patients
Mobile Medical Doc. P.C. Internal Medicine Past Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1508106022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13259 41ST RD",
            "address_2": "SUITE CB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554257",
            "telephone_number": "718-939-6234",
            "fax_number": "718-939-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13259 41ST RD",
            "address_2": "SUITE CB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554257",
            "telephone_number": "718-939-6234",
            "fax_number": "718-939-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "SUMMER",
        "middle_name": "RUONAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.