Individual provider Active NPI

Xiaochun Zhang

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1710083605
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101054334 Issued in VA
Practice address
2102 D Gallows Rd
Vienna, VA 22182-3960
Phone
(703) 761-1644
Fax
(703) 761-1645
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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 0101054334 VA Primary

Addresses

Primary practice location

2102 D Gallows Rd
Vienna, VA 22182-3960

Mailing address

2102 Gallows Rd
# A
Vienna, VA 22182-3960
Phone (703) 761-1644

Other identifiers 1

IdentifierTypeStateIssuer
5809576MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080825000009 DC Practitioner - Internal Medicine 2567537681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2102 A Gallows Rd
Vienna, VA 22182-3910
Phone (703) 761-1644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101054334VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xiaochun Zhang Inc. Internal Medicine CurrentSince Dec 4, 1998 Accepting new patients

Locations

2102 Gallows Rd
#A
Vienna, VA 22182
Phone (703) 761-1644

2102 Gallows Rd
#D
Vienna, VA 22182
Phone (702) 761-1644

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1710083605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 GALLOWS RD",
            "address_2": "# A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823960",
            "telephone_number": "703-761-1644",
            "fax_number": "703-761-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 D GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823960",
            "telephone_number": "703-761-1644",
            "fax_number": "703-761-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "XIAOCHUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5809576",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.