ELISE ESTELLA ZHAO
NPI 1164044202
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Q: What is Elise Zhao's NPI number?

The NPI number for Elise Zhao is 1164044202. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Q: What is Elise Zhao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elise Zhao was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 12, 2020PECOS Enrolled

1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Apr 4, 2022, Jun 15, 2020 and 1 more (4 updates tracked since 2020).

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About Elise Estella Zhao NPPES

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

ELISE ESTELLA ZHAO (NPI 1164044202) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dothan.

NPPES Registry Identity

NPI1164044202

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELISE ESTELLA ZHAO

Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838

Mailing Address1906 Belleview Ave SeRoanoke, VA 24014-1838 · (540) 981-7000

Phone(540) 981-7000

Sole ProprietorNo

Enumeration DateMay 12, 2020

Last NPPES UpdateMarch 30, 20234 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1164044202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

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Secondary Practice Location 1

Location 11108 Ross Clark Cir Ste 210Dothan, AL 36301-3022 · Phone (334) 712-3329 · Fax (334) 305-0219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Estella Zhao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOHN K THOMPSON PA-C, ATC

Physician Assistant