Active NPI
Changqing Zhao, M.D.
- Internal Medicine Physician
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2016009817
- Practice address
- 901 E 5TH St
Washington, MO 63090-3127 - Phone
- (636) 239-8231
- NPI assigned
- Feb 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036135693 | IL | |
| Internal Medicine Physician | 207R00000X | 2016009817 | MO | Primary |
Addresses
Primary practice location
901 E 5TH St
Washington, MO 63090-3127
Mailing address
901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423
1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-8091
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Hospital & facility affiliations
- Mercy Hospital South
- Herrin Hospital
- Mercy Hospital Jefferson
- Mercy Hospital St Louis
- Parkland Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280960 | NY | MD | Registered Nurse |
| 036135693 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Hospitalist | Current | Accepting new patients |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Cep America - Illinois SNF, LLP | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Internal Medicine | Current | Accepting new patients |
| Cep America - Illinois SNF LLP | Internal Medicine | Current | Accepting new patients |
| Midwest Emergency Anderson Health, Inc | Current | Accepting new patients | |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Mercy Hospital Lincoln | Internal Medicine | Current | Accepting new patients |
| Cep America - Illinois SNF, LLP | Internal Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
3490 Humbert Rd
Alton, IL 62002
Phone (618) 465-2626
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- czhao143@yourcarecommunity.org
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1073069415
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
-
- Rural Health Clinic/Center
- Troy, MO
- NPI 1144626219
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Internal Medicine Physician
- Edwardsville, IL
- NPI 1043170434
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Farmington, MO
- NPI 1003824061
-
- Psychiatric Hospital Unit
- Farmington, MO
- NPI 1902814866
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1700183142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903127",
"telephone_number": "636-239-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903127",
"telephone_number": "636-239-8231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "CHANGQING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036135693",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2016009817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.