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LI ZHANG M.D.
NPI 1104252998
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Newark, DE

Active since September 24, 2013PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON ROAD, SUITE 1E50, NEWARK, DE 19718(302) 733-1980(302) 733-1986 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Sep 14, 2022 (2 updates tracked since 2022).

About Li Zhang M.d. NPPES

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

LI ZHANG M.D. (NPI 1104252998) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Newark, Delaware, licensed in Delaware (C1-0028196) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1104252998
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameLI ZHANGCredential: M.D.
Location Address4755 OGLETOWN STANTON ROAD, SUITE 1E50Newark, DE 19718-2200
Mailing Address3131 E Clarendon Ave, Ste 102Phoenix, AZ 85016-7069 · (602) 253-9168 · Fax (602) 251-3126
Phone(302) 733-1980
Fax(302) 733-1986
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 24, 2013
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1104252998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in DE · C1-0028196✔ Licensed in NY · 277269✔ Licensed in OH · 121762✔ Licensed in AZ · 59589
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4755 OGLETOWN STANTON ROAD, Newark, DE 19718
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Secondary Practice Location 1

Location 13131 E Clarendon Ave Ste 102Phoenix, AZ 85016-7069 · Phone (602) 253-9168 · Fax (602) 251-3126

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Li Zhang M.d. 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 ID648405142
PECOS Enrollment IDI20141103001388, I20250828000100
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 3

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.

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.
25 services25 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
24 services24 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 20

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

LUVIZA SANTOS MD
Internal Medicine
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
BRIEANNA BRIENEE BIVENS MD
Hospitalist
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
BRIAN E BURGESS MD
Emergency Medicine
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
New Castle County (302) 733-1000
MAUREEN ANN MOFFETT CNS
Clinical Nurse Specialist (Neonatal)
4755 OGLETOWN STANTON ROAD, NEONATAL INTENSIVE CARE UNIT
NEWARK, DE 19718
New Castle County (302) 733-2400
DR. DINESH KOMMAREDDY MD
Hospitalist
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
SYED ALI HAMID M.B.B.S
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON ROAD, CHRISTIANA CARE HOSPITAL
NEWARK, DE 19718
New Castle County (302) 733-6510
DR. HASSAAN BIN ARSHAD MD
Internal Medicine
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
ERIC SAVARESE PA-C
Physician Assistant
4755 OGLETOWN STANTON ROAD, 3RD FLOOR
NEWARK, DE 19718
New Castle County (302) 733-3475

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 Li Zhang's NPI number?

The NPI number for Li Zhang is 1104252998. It was assigned to this individual provider in the NPPES registry on September 24, 2013.

Where is Li Zhang located?

Li Zhang practices at 4755 Ogletown Stanton Road Suite 1e50, Newark, DE 19718. The listed phone number is (302) 733-1980.

What is Li Zhang's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Li Zhang enrolled in Medicare?

Yes. Li Zhang 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 Li Zhang accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Li Zhang 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.

When was this NPI record last updated?

The NPPES record for Li Zhang was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.