Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

XIAOTUAN ZHAO MD
NPI 1285619205
Internal Medicine - Gastroenterology in Tyler, TX

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
910 E HOUSTON ST STE 550, TYLER, TX 75702(903) 606-8718 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, May 27, 2020, Apr 2, 2020 (3 updates tracked since 2020).

About Xiaotuan Zhao Md NPPES

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

XIAOTUAN ZHAO MD (NPI 1285619205) is an individual gastroenterology provider in Tyler, Texas, licensed in Texas (M2221) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285619205
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameXIAOTUAN ZHAOCredential: MD
Location Address910 E HOUSTON ST STE 550Tyler, TX 75702-8366
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateDecember 13, 2005
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1285619205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · M2221
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
910 E HOUSTON ST STE 550, Tyler, TX 75702

Secondary Practice Locations 2

Location 1910 E Houston St Ste 100Tyler, TX 75702-8363 · Phone (903) 606-8718 · Fax (903) 606-1218
Location 22301 S Clear Creek Rd, Ste 102Killeen, TX 76549-4143 · Phone (254) 519-8490 · Fax (254) 519-8495

Other Identifiers 4

Medicaid175894805TX
Other901094TX · Medicare
Medicaid175894801TX
OtherP02416492TX · Medicare Rail Road

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Xiaotuan Zhao Md 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 ID5597799627
PECOS Enrollment IDI20050919000907
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.

Medicare Billing Reassignment

Medicare enrollment records show Xiaotuan Zhao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

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.
400 services223 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.
245 services236 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services167 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
180 services174 patients
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.
88 services86 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
65 services65 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Jacksonville

Critical Access Hospitals · Jacksonville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451319
Location2026 S Jackson StreetJacksonville, TX 75766 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
910 E HOUSTON ST STE 550
TYLER, TX 75702
Dietitian, Registered
910 E HOUSTON ST STE 550
TYLER, TX 75702
Nurse Practitioner
910 E HOUSTON ST STE 550
TYLER, TX 75702
Internal Medicine (Gastroenterology)
910 E HOUSTON ST STE 550
TYLER, TX 75702
Internal Medicine (Transplant Hepatology)
910 E HOUSTON ST STE 550
TYLER, TX 75702
Physician Assistant
910 E HOUSTON ST STE 550
TYLER, TX 75702
Physician Assistant
910 E HOUSTON ST STE 550
TYLER, TX 75702
Surgery
910 E HOUSTON ST STE 550
TYLER, TX 75702

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 Xiaotuan Zhao's NPI number?

The NPI number for Xiaotuan Zhao is 1285619205. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Xiaotuan Zhao located?

Xiaotuan Zhao practices at 910 E Houston St Ste 550, Tyler, TX 75702. The listed phone number is (903) 606-8718.

What is Xiaotuan Zhao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Xiaotuan Zhao enrolled in Medicare?

Yes. Xiaotuan Zhao 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.

Which organization bills Medicare for Xiaotuan Zhao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xiaotuan Zhao reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Xiaotuan Zhao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Xiaotuan Zhao accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Xiaotuan Zhao 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.

Is Xiaotuan Zhao affiliated with any hospitals?

According to CMS data, Xiaotuan Zhao is affiliated with Christus Good Shepherd Medical Center, Christus Mother Frances Hospital, Christus Mother Frances Hospital Sulphur Springs and Christus Mother Frances Hospital- Jacksonville.

When was this NPI record last updated?

The NPPES record for Xiaotuan Zhao was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.