Individual provider Active NPI

Jiansheng Zhao, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1962591750
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203543 Issued in NY
Practice address
3907 Prince Street
Suite 4F
Flushing, NY 11354
Phone
(718) 939-3780
Fax
(718) 939-7040
NPI assigned
Oct 12, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203543 NY Primary

Addresses

Primary practice location

3907 Prince Street
Suite 4F
Flushing, NY 11354

Mailing address

3907 Prince Street
Suite 4F
Flushing, NY 11354
Phone (718) 939-3780

Other identifiers 2

IdentifierTypeStateIssuer
02508AOtherMEDICARE
01694848MedicaidNY

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
I20070716000378 NY Practitioner - Internal Medicine 9335249689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

3907 Prince St
Suite 4F
Flushing, NY 11354-5308
Phone (718) 939-3780

4235 Main St
Flushing, NY 11355-3969

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as individual
Quality
70.9
Promoting interoperability
81
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203543NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Nov 23, 2022 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
We Care Walk-in Medical Services, P.C. Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

3907 Prince St
Ste 4F
Flushing, NY 11354
Phone (718) 939-3780

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1962591750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PRINCE STREET",
            "address_2": "SUITE 4F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-939-3780",
            "fax_number": "718-939-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE STREET",
            "address_2": "SUITE 4F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-939-3780",
            "fax_number": "718-939-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "JIANSHENG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "02508A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.