ZAW WIN PHYO M.B,B.S
NPI 1316491533
Internal Medicine in Williamsburg, VA

Q: What is Zaw Phyo's NPI number?

The NPI number for Zaw Phyo is 1316491533. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Q: What is Zaw Phyo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Zaw Phyo was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 August 04, 2016PECOS EnrolledAccepts Medicare Assignment

100 SENTARA CIR RM 2C, WILLIAMSBURG, VA 23188(757) 984-7217 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Feb 19, 2025, Jul 2, 2019 (3 updates tracked since 2019).

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About Zaw Win Phyo M.b,b.s NPPES

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

ZAW WIN PHYO M.B,B.S (NPI 1316491533) is an individual internal medicine provider in Williamsburg, Virginia, licensed in Illinois (036.148955) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1316491533

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameZAW WIN PHYOCredential: M.B,B.S

Location Address100 SENTARA CIR RM 2CWilliamsburg, VA 23188-5713

Mailing Address1300 Franklin Ave Ste 380Normal, IL 61761-4266 · (309) 268-3598 · Fax (309) 268-2536

Phone(757) 984-7217

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 4, 2016

Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1316491533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036.148955

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 0101289411 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 SENTARA CIR RM 2C, Williamsburg, VA 23188

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Secondary Practice Locations 4

Location 11300 Franklin Ave Ste 380Normal, IL 61761-4266 · Phone (309) 268-3598 · Fax (309) 268-2536

Location 22300 N Edward StDecatur, IL 62526-4163 · Phone (217) 876-8121

Location 31545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (718) 613-4000

Location 41000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4325 · Fax (217) 348-4290

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

Zaw Win Phyo M.b,b.s 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 ID4587918370

PECOS Enrollment IDI20190703000694

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

Medicare enrollment records show Zaw Phyo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center

643 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

Carle Health Medical Group

648 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Carle West Physician Group Inc

695 mi

Family Medicine

1302 FRANKLIN AVE STE 3400
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
698 clinicians in this Medicare group

NPI 1467074138 (309) 556-8295

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 4

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 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.

710 services255 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

179 services170 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.

71 services69 patients

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.

21 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141309

Location101 S Major StEureka, IL 61530 · Woodford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$15.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$88.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

HANNAH LEE MANSON PA

Physician Assistant