Individual provider Active NPI

Qingyan Zhu, MD

  • Neurology Physician
  • Carrollton, VA
National Provider Identifier
1962422022
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101229252 Issued in VA
Practice address
15154 Carrollton Blvd
Suite a
Carrollton, VA 23314-2316
Phone
(757) 745-7555
Fax
(757) 745-7560
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101229252 VA Primary

Addresses

Primary practice location

15154 Carrollton Blvd
Suite a
Carrollton, VA 23314-2316

Mailing address

15154 Carrollton Blvd
Suite a
Carrollton, VA 23314-2316
Phone (757) 745-7555

Other identifiers 1

IdentifierTypeStateIssuer
7117680MedicaidVA

Other names 1

  • Dr. Cherry Zhu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Orthopaedic Associates, Inc. Past Accepting new patients
Wardell Orthopaedics PC PastSince Aug 1, 2012 Accepting new patients

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1962422022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15154 CARROLLTON BLVD",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142316",
            "telephone_number": "757-745-7555",
            "fax_number": "757-745-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15154 CARROLLTON BLVD",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142316",
            "telephone_number": "757-745-7555",
            "fax_number": "757-745-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHU",
        "first_name": "QINGYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101229252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117680",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "ZHU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.