JACK JIE ZHOU MD INC.
NPI 1295916112
Clinic/Center - Primary Care in Honolulu, HI
About Jack Jie Zhou Md Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK JIE ZHOU MD INC. (NPI 1295916112) is a healthcare organization registered as a primary care in Honolulu, Hawaii and active in the NPI registry since November 2007. The organization lists Jack Zhou, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Jie Zhou Md Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jack Jie Zhou MD Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jack Jie Zhou MD Inc.'s NPI number?
The NPI number for Jack Jie Zhou MD Inc. is 1295916112. It was assigned to this organization in the NPPES registry on November 20, 2007.
Where is Jack Jie Zhou MD Inc. located?
Jack Jie Zhou MD Inc. is located at 100 N Beretania St Ste 104, Honolulu, HI 96817. The listed phone number is (808) 538-6532.
What is Jack Jie Zhou MD Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jack Jie Zhou MD Inc. enrolled in Medicare?
Yes. Jack Jie Zhou MD Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jack Jie Zhou MD Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jack Jie Zhou MD Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jack Jie Zhou MD Inc. was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jack Jie Zhou Md Inc. · NPI 1295916112
Primary Care organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since November 20, 2007.
## Identity
- **NPI:** 1295916112 (Entity type: Organization)
- **Enumerated:** November 20, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jack Zhou, PRESIDENT
## Practice location
- **Address:** 100 N BERETANIA ST STE 104, Honolulu, HI 96817-4768
- **Phone:** (808) 538-6532
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2017
- **Other identifiers:** Medicare PIN H57590 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1295916112) · Data from the CMS NPPES public registry.