Individual provider Active NPI

Crystal Zheng, M.D.

  • Infectious Disease Physician
  • Bronx, NY
National Provider Identifier
1588050629
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
308987 Issued in LA
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-4321
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 308987 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

1430 Tulane Ave
# 8587
New Orleans, LA 70112-2632
Phone (504) 988-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200817001086 LA Practitioner - Infectious Disease 6507282902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Perelman School of Med at the University of Pennsylvania, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
FL 5
New Orleans, LA 70112-2600
Phone (504) 988-1001

1676 Gravier St
New Orleans, LA 70112-2106
Phone (504) 568-8733

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Aug 22, 2022 Accepting new patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Aug 22, 2022 Accepting new patients
Louisiana Department of Health - Office of Public Health Multi-Specialty Current Accepting new patients

Locations

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1676 Gravier St
New Orleans, LA 70112
Phone (504) 568-8733

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

2000 Canal St
Fl 2
New Orleans, LA 70112
Phone (504) 702-2287

1676 Gravier St
Ste 2
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1430 Tulane Ave
#8587
New Orleans, LA 70112

Organizations & group practices 5

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 5

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1588050629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "# 8587",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7325",
            "fax_number": "504-988-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "CRYSTAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "308987",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.