Individual provider Active NPI

Maocheng Zhan, MD

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1548413172
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD. 203022 Issued in LA
Practice address
524 Dr Michael Debakey Drive
St Patrick Hosoital
Lake Charles, LA 70601-0000
Phone
(337) 430-4455
Fax
(337) 430-4454
NPI assigned
Oct 28, 2008
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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 MD. 203022 LA Primary

Addresses

Primary practice location

524 Dr Michael Debakey Drive
St Patrick Hosoital
Lake Charles, LA 70601-0000

Mailing address

524 Dr. Michael Debakey Drive
Lake Charles, LA 70601-0000
Phone (337) 430-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121030000285 TX Practitioner - Internal Medicine 1052465994 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians

Practice addresses (Care Compare)

1311 E General Cavazos Blvd
Christus Spohn Hospital Kleberg
Kingsville, TX 78363-7150
Phone (361) 595-1661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD. 203022LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 10, 2016 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 15, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 10, 2016 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince Mar 20, 2024 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1548413172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 DR. MICHAEL DEBAKEY DRIVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010000",
            "telephone_number": "337-430-4455",
            "fax_number": "337-430-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DRIVE",
            "address_2": "ST PATRICK HOSOITAL",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010000",
            "telephone_number": "337-430-4455",
            "fax_number": "337-430-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAN",
        "first_name": "MAOCHENG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD. 203022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.