Individual provider Active NPI

Xiaodan Zhou

  • Family Nurse Practitioner
  • Lewiston, NY
National Provider Identifier
1841956034
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348825 Issued in NY
Practice address
5290 Military Rd Ste 10a
Lewiston, NY 14092-1983
Phone
(716) 298-2734
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 735958 NY
Family Nurse Practitioner 363LF0000X 348825 NY Primary

Addresses

Primary practice location

5290 Military Rd Ste 10a
Lewiston, NY 14092-1983

Mailing address

5290 Military Rd Ste 10a
Lewiston, NY 14092-1983
Phone (716) 298-2734

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110000450 NY Practitioner - Nurse Practitioner 2860884582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

5290 Military Rd
Suite 10a
Lewiston, NY 14092-1983
Phone (716) 284-3278

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
735958NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Jan 3, 2022 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 3, 2022 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Jan 3, 2022 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Past Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

5290 Military Rd
Ste 10A
Lewiston, NY 14092
Phone (716) 284-3278

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1841956034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MILITARY RD STE 10A",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921983",
            "telephone_number": "716-298-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MILITARY RD STE 10A",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921983",
            "telephone_number": "716-298-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHOU",
        "first_name": "XIAODAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "735958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.