DR. DONG FANG ZHAO M.D.
NPI 1245895606
General Practice in Grosse Pointe Park, MI

Q: What is Dong Fang Zhao's NPI number?

The NPI number for Dong Fang Zhao is 1245895606. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Dong Fang Zhao's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Dong Fang Zhao was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 01, 2019PECOS Enrolled

15001 KERCHEVAL AVE PMB 502, GROSSE POINTE PARK, MI 48230(810) 322-7952 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2022, May 29, 2022, Feb 13, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Dong Fang Zhao M.d. NPPES

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

DR. DONG FANG ZHAO M.D. (NPI 1245895606) is an individual general practice provider in Grosse Pointe Park, Michigan, licensed in Michigan (4301505594) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245895606

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. DONG FANG ZHAOCredential: M.D.

Location Address15001 KERCHEVAL AVE PMB 502Grosse Pointe Park, MI 48230-1361

Mailing Address15001 Kercheval Ave Pmb 502Grosse Pointe Park, MI 48230-1361 · (810) 322-7952

Phone(810) 322-7952

Sole ProprietorNo

Enumeration DateMay 1, 2019

Last NPPES UpdateJuly 12, 20224 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1245895606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301505594

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

15001 KERCHEVAL AVE PMB 502, Grosse Pointe Park, MI 48230

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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. Dong Fang Zhao M.d. 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.

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 Dong Fang Zhao's NPI number?

The NPI number for Dong Fang Zhao is 1245895606. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Dong Fang Zhao located?

Dong Fang Zhao practices at 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, MI 48230. The listed phone number is (810) 322-7952.

What is Dong Fang Zhao's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dong Fang Zhao enrolled in Medicare?

Yes. Dong Fang Zhao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dong Fang Zhao was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.