KEN ZHAO M.D.
NPI 1386034072
Surgery in New York, NY

Q: What is Ken Zhao's NPI number?

The NPI number for Ken Zhao is 1386034072. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Q: What is Ken Zhao's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Ken Zhao was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 02, 2015PECOS EnrolledAccepts Medicare Assignment

85.46/100

CMS Quality Rating

1275 YORK AVE, NEW YORK, NY 10065(347) 798-9213 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ken Zhao M.d. NPPES

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

KEN ZHAO M.D. (NPI 1386034072) is an individual surgery provider in New York, New York, licensed in New York (290287) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2015).

NPPES Registry Identity

NPI1386034072

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameKEN ZHAOCredential: M.D.

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address550 1st AveNew York, NY 10016-6402 · (212) 263-5506

Phone(347) 798-9213

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2015

Enumeration DateFebruary 2, 2015

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1386034072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NY · 290287✔ Licensed in NJ · 25MA11292900

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1275 YORK AVE, New York, NY 10065

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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

Ken Zhao 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 ID4981901584

PECOS Enrollment IDI20210909001648, I20220517002285

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 Ken Zhao reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mskcc Radiology Group

Same address

Diagnostic Radiology

1275 YORK AVE
New York, NY 10021

Reassigned Medicare billing, New York enrollment
302 clinicians in this Medicare group

NPI 1639159692 (646) 227-3813

Msk Bergen

21 mi

Medical Oncology

225 SUMMIT AVE
Montvale, NJ 07645

Reassigned Medicare billing, New Jersey enrollment
401 clinicians in this Medicare group

NPI 1558814657 (908) 542-3336

Msk Monmouth

29 mi

Medical Oncology

480 RED HILL RD
Middletown, NJ 07748

Reassigned Medicare billing, New Jersey enrollment
464 clinicians in this Medicare group

NPI 1922459163 (908) 542-3007

Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey

34 mi

Medical Oncology

136 MOUNTAIN VIEW BLVD
Basking Ridge, NJ 07920

Reassigned Medicare billing, New Jersey enrollment
385 clinicians in this Medicare group

NPI 1184637886 (908) 542-3000

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 22

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.

Review by radiologist of additional artery image 75774

This procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.

93 services18 patients

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond 36248

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.

56 services16 patients

Review by radiologist of abdominal artery image 75726

This procedure involves a radiologist examining an image of your abdominal artery. The goal is to identify any abnormalities or issues that might impact your health. It's a non-invasive method that provides valuable information about your body's circulatory system.

45 services19 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

41 services32 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

39 services21 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.

37 services23 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

28 services26 patients

Ultrasonic guidance for blood vessel access 76937

26 services26 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

25 services25 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

24 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services18 patients

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch 36245

This procedure involves inserting a tube into an artery in your abdomen, pelvis, or leg. The tube is placed into the first order branch of the artery. It's done to investigate or treat conditions affecting blood flow. It's a safe, common procedure.

22 services14 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

20 services20 patients

Ultrasonic guidance for needle placement 76942

19 services19 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

18 services18 patients

Occlusion of growths or obstructed vessels with review by radiologist 37243

This procedure involves blocking abnormal growths or blocked vessels in your body. A radiologist, a doctor specialized in imaging techniques, will review the process. The aim is to improve your health by preventing these issues from causing further complications.

18 services14 patients

Review by radiologist of ct guidance for needle placement 77012

18 services18 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

18 services12 patients

Needle biopsy of liver through skin 47000

A needle biopsy of the liver through skin is a procedure where a small tissue sample from your liver is collected using a thin needle. This is done to diagnose liver diseases or conditions. It involves inserting the needle through your skin and into your liver.

14 services13 patients

Radioactive drug therapy through a tube inserted in an artery 79445

Radioactive drug therapy involves the use of a tiny tube, inserted into an artery. This tube delivers a radioactive drug directly to the area requiring treatment. This precise approach helps to maximize effectiveness while minimizing side effects.

14 services11 patients

Needle biopsy of growth of abdominal cavity 49180

A needle biopsy of the abdominal cavity growth is a procedure where a thin needle is inserted into the abdomen to collect a small tissue sample from the growth. This sample is then examined under a microscope to identify the nature of the growth. It's a safe, minimally invasive procedure.

12 services12 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

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.

85.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.05

Improvement Activities

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.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)