Individual provider Active NPI

Hua Zhou, M.D.

  • Dermatology Physician
  • Cranston, RI
National Provider Identifier
1770538563
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11602 Issued in RI
Practice address
750 Reservoir Ave
Cranston, RI 02910-4423
Phone
(401) 943-0761
Fax
(401) 943-5737
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 11602 RI Primary

Addresses

Primary practice location

750 Reservoir Ave
Cranston, RI 02910-4423

Mailing address

750 Reservoir Ave
Cranston, RI 02910-4423
Phone (401) 943-0761

Other practice location 1

215 Toll Gate Rd Ste 206A
Warwick, RI 02886-4461
Phone (401) 490-4515

Other identifiers 1

IdentifierTypeStateIssuer
7057865MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050921000117 RI Practitioner - Dermatology 6709810633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Derm and Cosmetic Center, IncGroup PAC ID 6709004484, 6 clinicians

Practice addresses (Care Compare)

750 Reservoir Ave
Cranston, RI 02910-4423
Phone (401) 943-0761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions1008
Skin biopsy175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11602RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Derm & Cosmetic Center, Inc Dermatology CurrentSince May 25, 2014 Accepting new patients

Locations

750 Reservoir Ave
Cranston, RI 02910
Phone (401) 464-6617

1539 Atwood Ave
Ste 301
Providence, RI 02919
Phone (401) 490-4515

215 Toll Gate Rd
Ste 206A
Warwick, RI 02886
Phone (401) 490-4515

Interoperability endpoints

  • Direct secure messaging: lzhou@cdcc.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1770538563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-943-0761",
            "fax_number": "401-943-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-943-0761",
            "fax_number": "401-943-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Toll Gate Rd Ste 206A",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864461",
            "country_code": "US",
            "telephone_number": "401-490-4515",
            "fax_number": "401-490-4516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHOU",
        "first_name": "HUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "11602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057865",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.