DR. HE ZHANG M.D. AND PH.D.
NPI 1154593226
Internal Medicine - Pulmonary Disease in Waterbury, CT

Active since March 29, 2008PECOS EnrolledAccepts Medicare Assignment
133 SCOVILL ST, SUITE 104, WATERBURY, CT 06706(203) 709-6244 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. He Zhang M.d. And Ph.d. NPPES

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

DR. HE ZHANG M.D. AND PH.D. (NPI 1154593226) is an individual pulmonary disease provider in Waterbury, Connecticut, licensed in Connecticut (46246) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154593226
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HE ZHANGCredential: M.D. AND PH.D.
Location Address133 SCOVILL ST, SUITE 104Waterbury, CT 06706-1127
Mailing Address133 Scovill St, Suite 104Waterbury, CT 06706-1127 · (203) 709-6244
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 29, 2008
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1154593226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 46246
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 046246 (CT)
133 SCOVILL ST, Waterbury, CT 06706

Other Identifiers 6

Other527314CT · Wellcare
OtherP00728689CT · Railroad Medicare
Other02472372CT · Cigna
Other9171373CT · Aetna
Other01999720CT · Coventry
Other046246CT · Connecticare

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

Dr. He Zhang M.d. And Ph.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 ID2769532431
PECOS Enrollment IDI20090618000403
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 12

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
200 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
171 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services53 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
36 services36 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%150 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers70 claims71 services$15.21 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$912.84 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier42 claims42 services$5.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers172 claims173 services$71.06 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
10 suppliers50 claims8,156 services$0.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$33.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
133 SCOVILL ST
WATERBURY, CT 06706
Obstetrics & Gynecology (Obstetrics)
133 SCOVILL ST, SUITE 303
WATERBURY, CT 06706
Psychologist
133 SCOVILL ST, STE 211
WATERBURY, CT 06706
Clinic/Center (Adult Mental Health)
133 SCOVILL ST, SUITE # 201
WATERBURY, CT 06706
Psychologist
133 SCOVILL ST, SUITE 211
WATERBURY, CT 06706
Internal Medicine
133 SCOVILL ST
WATERBURY, CT 06706
Psychologist
133 SCOVILL ST, SUITE 211
WATERBURY, CT 06706
Psychologist
133 SCOVILL ST, SUITE 211
WATERBURY, CT 06706

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 He Zhang's NPI number?

The NPI number for He Zhang is 1154593226. It was assigned to this individual provider in the NPPES registry on March 29, 2008.

Where is He Zhang located?

He Zhang practices at 133 Scovill St Suite 104, Waterbury, CT 06706. The listed phone number is (203) 709-6244.

What is He Zhang's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is He Zhang enrolled in Medicare?

Yes. He 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.

When was this NPI record last updated?

The NPPES record for He Zhang was last updated on October 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.