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DR. MICHAEL ZHAO MD
NPI 1164048583
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 22, 2020PECOS Enrolled
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-5000 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2021, Jun 22, 2020 (2 updates tracked since 2020).

About Dr. Michael Zhao Md NPPES

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

DR. MICHAEL ZHAO MD (NPI 1164048583) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1164048583
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL ZHAOCredential: MD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1138
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1138 · (718) 918-5000
Phone(718) 918-5000
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateJune 22, 2020
Last NPPES UpdateJune 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1164048583 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.
1400 PELHAM PKWY S, Bronx, NY 10461
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Zhao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234552134
PECOS Enrollment IDI20260515001387
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.

CAROLYN COLE
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5820
RYAN JOHNY PHARM. D
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-4557
DR. SARAH G JAMISON MD
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
SWETHA PEDAVALLY M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Bronx County (718) 918-7460
MS. ODESSA FYNN CM
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Bronx County (718) 918-3060
DR. PATRICK SPENCER EIBEN M.D.
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
DR. ADAM JOSEPH GERSHON MD
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000
EDIRICARDO RODRIGUEZ ORTIZ MD
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000

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 Michael Zhao's NPI number?

The NPI number for Michael Zhao is 1164048583. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Michael Zhao located?

Michael Zhao practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5000.

What is Michael Zhao's specialty?

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

Is Michael Zhao enrolled in Medicare?

Yes. Michael Zhao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Zhao was last updated on June 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.