JAMES ZHOU MD
NPI 1023548005
Neurological Surgery in Miami Beach, FL

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
4302 ALTON RD STE 810, MIAMI BEACH, FL 33140(305) 674-2950(305) 674-2749 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2024, Jun 13, 2017 (2 updates tracked since 2017).

About James Zhou Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES ZHOU MD (NPI 1023548005) is an individual neurological surgery provider in Miami Beach, Florida, licensed in Florida (FJ4135186) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of University Of Pittsburgh School Of Medicine (2017).

NPPES Registry Identity

NPI1023548005
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJAMES ZHOUCredential: MD
Location Address4302 ALTON RD STE 810Miami Beach, FL 33140-2893
Mailing Address350 W Thomas RdPhoenix, AZ 85013
Fax(305) 674-2749
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1023548005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in FL · FJ4135186
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

4302 ALTON RD STE 810, Miami Beach, FL 33140

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Zhou Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901341767
PECOS Enrollment IDI20240716004612
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Neurological Surgery
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Nurse Practitioner (Family)
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Nurse Practitioner (Acute Care)
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Radiology (Vascular & Interventional Radiology)
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Radiology (Vascular & Interventional Radiology)
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Physician Assistant
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140
Physician Assistant
4302 ALTON RD STE 810
MIAMI BEACH, FL 33140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Zhou's NPI number?

The NPI number for James Zhou is 1023548005. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is James Zhou located?

James Zhou practices at 4302 Alton Rd Ste 810, Miami Beach, FL 33140. The listed phone number is (305) 674-2950.

What is James Zhou's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is James Zhou enrolled in Medicare?

Yes. James Zhou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Zhou accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list James Zhou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Zhou affiliated with any hospitals?

According to CMS data, James Zhou is affiliated with Mount Sinai Medical Center Of Florida, Inc and Lower Keys Medical Center.

When was this NPI record last updated?

The NPPES record for James Zhou was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.