DR. LILEI ZHANG MD PHD
NPI 1295996353
Medical Genetics - Clinical Genetics (M.D.) in Houston, TX

Active since June 21, 2008PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
6701 FANNIN ST, SUITE CC 1610, HOUSTON, TX 77030(832) 822-4280 Get Directions Write a Review

NPPES record last updated: April 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2024, Dec 4, 2020, Jan 20, 2017 (3 updates tracked since 2017).

About Dr. Lilei Zhang Md Phd NPPES

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

DR. LILEI ZHANG MD PHD (NPI 1295996353) is an individual clinical genetics (m.d.) provider in Houston, Texas, licensed in Texas (Q9099) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295996353
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameDR. LILEI ZHANGCredential: MD PHD
Location Address6701 FANNIN ST, SUITE CC 1610Houston, TX 77030-2608
Mailing Address1 Baylor Plz, 441eHouston, TX 77030-3411
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 21, 2008
Last NPPES UpdateApril 13, 20243 updates tracked since enumeration
NPPES CertifiedApril 13, 2024
✔ NPI 1295996353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in TX · Q9099
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q9099 (TX)
6701 FANNIN ST, Houston, TX 77030

Other Identifiers 1

Medicaid0090721OH

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

Dr. Lilei Zhang Md Phd 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 ID7416191754
PECOS Enrollment IDI20160809000946
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 Reassignments

2

Medicare enrollment records show Lilei Zhang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Pediatrics (Developmental - Behavioral Pediatrics)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Neonatal-Perinatal Medicine)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6701 FANNIN ST
HOUSTON, TX 77030

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 Lilei Zhang's NPI number?

The NPI number for Lilei Zhang is 1295996353. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Where is Lilei Zhang located?

Lilei Zhang practices at 6701 Fannin St Suite Cc 1610, Houston, TX 77030. The listed phone number is (832) 822-4280.

What is Lilei Zhang's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Lilei Zhang enrolled in Medicare?

Yes. Lilei Zhang 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 organizations bill Medicare for Lilei Zhang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilei Zhang reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, TX). Each 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 Lilei Zhang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilei Zhang accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Lilei Zhang 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.

When was this NPI record last updated?

The NPPES record for Lilei Zhang was last updated on April 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.