Individual provider Active NPI

Jin Zhang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1689644775
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
L4822 Issued in TX
Practice address
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone
(210) 757-2299
Fax
(210) 614-4659
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L4822 TX Primary

Addresses

Primary practice location

1310 McCullough Ave
San Antonio, TX 78212-5601

Mailing address

9600 Datapoint Dr
San Antonio, TX 78229-2028
Phone (210) 892-3700

Other identifiers 1

IdentifierTypeStateIssuer
154451202MedicaidTX

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
I20090610000037 TX Practitioner - Pathology 6406906692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of San Antonio, L.L.P.Group PAC ID 0648252155, 24 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2222

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
76.1 of 100Reported as group
Quality
71.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4822TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of San Antonio, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Apr 29, 2009 Accepting new patients
Foundations, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

9720 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

9600 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

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.

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1689644775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292028",
            "telephone_number": "210-892-3700",
            "fax_number": "210-614-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125601",
            "telephone_number": "210-757-2299",
            "fax_number": "210-614-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L4822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154451202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.