Individual provider Active NPI

Jinsong Zhang, MD

  • General Practice Physician
  • Richardson, TX
National Provider Identifier
1821280520
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N4225 Issued in TX
Practice address
3200 Talon Dr
Suite 100
Richardson, TX 75082-9706
Phone
(214) 431-4539
Fax
(469) 828-6846
NPI assigned
Aug 16, 2007
Last updated
Apr 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X N4225 TX Primary

Addresses

Primary practice location

3200 Talon Dr
Suite 100
Richardson, TX 75082-9706

Mailing address

4117 Tabernash
Richardson, TX 75082-3744
Phone (214) 431-4539

Other identifiers 1

IdentifierTypeStateIssuer
207904801MedicaidTX

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
I20091023000313 TX Practitioner - Family Practice 7517004500 Practice locations: Dallas, TX; Richardson, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 Talon Dr
Suite 100
Richardson, TX 75082-9720
Phone (214) 431-4539

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4225TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jinsong Zhang, MD PHD CurrentSince Apr 1, 2010 Accepting new patients
Vesta Solutions Group, LLC Past Accepting new patients
Cowboy Capital Emergency Physicians Past Accepting new patients

Locations

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3200 Talon Dr
Ste 100
Richardson, TX 75082
Phone (214) 431-4539

Interoperability endpoints

  • Direct secure messaging: jinsong.zhang@nrfc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1821280520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 TABERNASH",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823744",
            "telephone_number": "214-431-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TALON DR",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829706",
            "telephone_number": "214-431-4539",
            "fax_number": "469-828-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JINSONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N4225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207904801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.