Individual provider Active NPI

Xinyu Zhao, M.D.

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1841369360
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
241984 Issued in NY
Practice address
4199 Main St Ste 203
Flushing, NY 11355-3821
Phone
(718) 886-2488
Fax
(718) 886-5386
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241984 NY
Hepatology Physician 207RI0008X 241984 NY
Gastroenterology Physician 207RG0100X 241984 NY Primary

Addresses

Primary practice location

4199 Main St Ste 203
Flushing, NY 11355-3821

Mailing address

16 Bristol Dr
Manhasset, NY 11030-3944
Phone (917) 767-8298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100806000008 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 5395878615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zhao Gastroenterology and Hepatology PCGroup PAC ID 2365686532, 2 clinicians

Practice addresses (Care Compare)

4199 Main St
Suite 203
Flushing, NY 11355-5164
Phone (718) 886-2488

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy468
Upper gastrointestinal (GI) endoscopy for acid reflux575

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zhao Gastroenterology & Hepatology PC CurrentSince Mar 15, 2013 Accepting new patients
Eighth Avenue Anesthesia PLLC PastSince Mar 15, 2013 Accepting new patients

Locations

4199 Main St
Ste 203
Flushing, NY 11355
Phone (718) 886-2488

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1841369360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRISTOL DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303944",
            "telephone_number": "917-767-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553821",
            "telephone_number": "718-886-2488",
            "fax_number": "718-886-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "XINYU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241984",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NY",
            "license": "241984",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "241984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.