DR. DIANA ZHONG M.D.
NPI 1376924365
Internal Medicine - Infectious Disease in Pittsburgh, PA

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3601 5TH AVE STE 700, PITTSBURGH, PA 15213(412) 647-7228 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2026, Jun 20, 2025, Feb 12, 2025 and 3 more (6 updates tracked since 2019).

About Dr. Diana Zhong M.d. NPPES

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

DR. DIANA ZHONG M.D. (NPI 1376924365) is an individual infectious disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD480550) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1376924365
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. DIANA ZHONGCredential: M.D.
Location Address3601 5TH AVE STE 700Pittsburgh, PA 15213-3403
Mailing Address2 Hot Metal St Ste 1Pittsburgh, PA 15203-2348
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateMay 22, 20266 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1376924365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in PA · MD480550✔ Licensed in NC · 2024-00364✔ Licensed in CA · A205588✔ Licensed in CT · 076314✔ Licensed in KS · TW-00403✔ Licensed in NY · 328075-01
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3601 5TH AVE STE 700, Pittsburgh, PA 15213

Secondary Practice Locations 5

Location 131 Union StVernon, CT 06066-3126 · Phone (855) 300-6933
Location 271 Haynes StManchester, CT 06040-4131 · Phone (855) 300-6933
Location 3143 Hospital Dr Ste 302State College, PA 16803-5500 · Phone (814) 278-4680 · Fax (814) 235-1523
Location 4207 Foote AveJamestown, NY 14701-7077 · Phone (716) 487-0141
Location 5155 Wellness WayState College, PA 16803-6702 · Phone (814) 231-7000 · Fax (814) 231-7098

Other Identifiers 1

Medicaid1376924365WA

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. Diana Zhong 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 ID2163721861
PECOS Enrollment IDI20230706000503, I20240314004238, I20240430003676, I20240620000237, I20240624000966, I20250924002492
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

13

Medicare enrollment records show Diana Zhong reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
380 SUMMIT AVE, MSO PHYSICIAN BILLING
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 158 clinicians in this Medicare group
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
Internal Medicine
15 S MAIN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
Family Medicine
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • 280 clinicians in this Medicare group
Physical Medicine & Rehabilitation
820 WEST DIAMOND AVENUE
Gaithersburg, MD 20878
  • Reassigned Medicare billing, District of Columbia enrollment
  • 340 clinicians in this Medicare group
Public Health or Welfare
5362 MUNGERS MILL RD
Silver Springs, NY 14550
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wyoming County
  • 76 clinicians in this Medicare group
Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
Family Medicine
2090 S OHIO ST
Salina, KS 67401
  • Reassigned Medicare billing, Kansas enrollment
  • 220 clinicians in this Medicare group
Hospitalist
1000 HOSPITAL DR
Mcpherson, KS 67460
  • Reassigned Medicare billing, Kansas enrollment
  • 66 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 5

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.

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
43 services40 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.
25 services19 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.
24 services12 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.
19 services18 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Infectious Disease)
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Internal Medicine (Infectious Disease)
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Internal Medicine (Infectious Disease)
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Internal Medicine (Infectious Disease)
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Family Medicine
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Internal Medicine (Infectious Disease)
3601 5TH AVE STE 700
PITTSBURGH, PA 15213
Internal Medicine
3601 5TH AVE STE 700
PITTSBURGH, PA 15213

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 Diana Zhong's NPI number?

The NPI number for Diana Zhong is 1376924365. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Diana Zhong located?

Diana Zhong practices at 3601 5th Ave Ste 700, Pittsburgh, PA 15213. The listed phone number is (412) 647-7228.

What is Diana Zhong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Diana Zhong enrolled in Medicare?

Yes. Diana Zhong 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 Diana Zhong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Zhong reassigns Medicare benefits to 13 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Trinity West (Steubenville, OH), Mount Nittany Medical Center Health Services Inc (State College, PA), Great Lakes Physician Practice PC (Jamestown, NY), Licking Memorial Health Professionals (Newark, OH) and 8 more organizations, listed in the Medicare section above. 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 Diana Zhong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Zhong accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., CareSource, Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list Diana Zhong 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 Diana Zhong affiliated with any hospitals?

According to CMS data, Diana Zhong is affiliated with Upmc Chautauqua At Wca, Licking Memorial Hospital and Upmc Northwest.

When was this NPI record last updated?

The NPPES record for Diana Zhong was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.