Individual provider Active NPI

Larry Zhao, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Burlington, MA
National Provider Identifier
1700012689
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
1019015 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-1979
Phone
(781) 744-8000
NPI assigned
Jun 4, 2009
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 48650 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036151239 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME157217 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.148216 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 1019015 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-1979

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
Phone (781) 744-8085

Other practice location 1

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

Other identifiers 3

IdentifierTypeStateIssuer
7100358540MedicaidKY
0000568MedicaidOH
300066810MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lzhao68780@sih.direct-ci.com
Direct Messaging Address lzhao68780@sih.direct-ci.com
Direct Messaging Address lzhao68780@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181003003930 TN Practitioner - Pathology 7416262621 Reassigns benefits to 2 organizations
I20200318001616 IL Practitioner - Pathology 7416262621 Reassigns benefits to 2 organizations
I20240423000284 MA Practitioner - Pathology 7416262621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP505KYMDInternal Medicine Physician
48650KYMDAnatomic Pathology Physician
036151239ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc. CurrentSince Nov 13, 2020 Accepting new patients
Lahey Clinic, Inc CurrentSince Mar 16, 2024 Accepting new patients
Community Pathology Laboratory LLC CurrentSince Feb 15, 2019 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Pathologists Laboratory Inc Anatomic Pathology CurrentSince Sep 24, 2018 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Nov 13, 2020 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jun 19, 2023 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Pathgroup Labs, LLC Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Cumberland Lung Specialists Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

405 W Jackson St
Carbondale, IL 62901

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

115 N Peachtree Ave
Cookeville, TN 38501
Phone (931) 528-2836

4733 Andrew Jackson Pkwy
Hermitage, TN 37076
Phone (615) 574-6540

4733 Andrew Jackson Pkwy
Ste 2C
Hermitage, TN 37076
Phone (615) 574-6540

Interoperability endpoints

  • Direct secure messaging: lzhao68780@sih.direct-ci.com
  • Direct secure messaging: lzhaomd294978@carlehiedirect.net

Organizations & group practices 12

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 2

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1700012689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018051979",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Joseph E Sanker Blvd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452121979",
            "country_code": "US",
            "telephone_number": "513-841-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "KY",
            "license": "48650",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036151239",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME157217",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.148216",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "1019015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100358540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000568",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300066810",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lzhao68780@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lzhao68780@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lzhao68780@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.