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DR. PAUL X ZHANG M.D.
NPI 1376546499
Internal Medicine - Hematology & Oncology in Houston, TX

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
1213 HERMANN DR STE 525, HOUSTON, TX 77004(713) 797-1900 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2026, Aug 26, 2019 (2 updates tracked since 2019).

About Dr. Paul X Zhang M.d. NPPES

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

DR. PAUL X ZHANG M.D. (NPI 1376546499) is an individual hematology & oncology provider in Houston, Texas, licensed in Louisiana (310077) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1376546499
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PAUL X ZHANGCredential: M.D.
Location Address1213 HERMANN DR STE 525Houston, TX 77004-7011
Mailing Address1213 Hermann Dr Ste 525Houston, TX 77004-7011 · (713) 797-1900
Phone(713) 797-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1376546499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in LA · 310077✔ Licensed in TX · N4868
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1213 HERMANN DR STE 525, Houston, TX 77004
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Other Identifiers 1

Medicaid1113239LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul X Zhang M.d. 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 ID9032011762
PECOS Enrollment IDI20040123000182, I20120523000490
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
315 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services84 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Savoy Medical Center

Acute Care Hospitals · Mamou, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number190025
Location801 Poinciana AvenueMamou, LA 70554 · Evangeline County
Emergency services

Oakdale Community Hospital

Acute Care Hospitals · Oakdale, LA
OwnershipProprietary
CMS Certification Number190106
Location130 N Hospital DrOakdale, LA 71463 · Allen County
Emergency services

Mercy Regional Medical Center

Acute Care Hospitals · Ville Platte, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190167
Location800 E MainVille Platte, LA 70586 · Evangeline County
Emergency services

Acadian Medical Center

Acute Care Hospitals · Eunice, LA
OwnershipProprietary
CMS Certification Number190318
Location3501 Highway 190 EastEunice, LA 70535 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%95 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

INSTITUTE OF INTEGRATIVE BIOONCOLOGY
Internal Medicine (Medical Oncology)
1213 HERMANN DR STE 525
HOUSTON, TX 77004
Harris County (713) 797-1900

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 Paul Zhang's NPI number?

The NPI number for Paul Zhang is 1376546499. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Paul Zhang located?

Paul Zhang practices at 1213 Hermann Dr Ste 525, Houston, TX 77004. The listed phone number is (713) 797-1900.

What is Paul Zhang's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Paul Zhang enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Zhang accept?

Health plans from Blue Cross and Blue Shield of Texas, HMO Louisiana, Oscar Insurance Company and UnitedHealthcare list Paul 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.

Is Paul Zhang affiliated with any hospitals?

According to CMS data, Paul Zhang is affiliated with Opelousas General Health System, Savoy Medical Center, Oakdale Community Hospital, Mercy Regional Medical Center and Acadian Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Zhang was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.