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DR. SOPHIE RUOXI ZHAO M.D.
NPI 1477907921
Internal Medicine in Nashville, TN

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
2000 CHURCH ST, NASHVILLE, TN 37236(615) 284-5843(615) 284-5752 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2019, Sep 2, 2016 (2 updates tracked since 2016).

About Dr. Sophie Ruoxi Zhao M.d. NPPES

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

DR. SOPHIE RUOXI ZHAO M.D. (NPI 1477907921) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (58949) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of Vanderbilt University School Of Medicine (2016).

NPPES Registry Identity

NPI1477907921
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SOPHIE RUOXI ZHAOCredential: M.D.
Location Address2000 CHURCH STNashville, TN 37236-0002
Mailing Address2000 Church StNashville, TN 37236-0002 · (615) 284-5843 · Fax (615) 284-5752
Phone(615) 284-5843
Fax(615) 284-5752
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2016
Enumeration DateApril 21, 2016
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
✔ NPI 1477907921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 58949
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.
2000 CHURCH ST, Nashville, TN 37236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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. Sophie Ruoxi 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 ID4688967011
PECOS Enrollment IDI20190729003321
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 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 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.
230 services98 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.
147 services71 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.
84 services82 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.
54 services53 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37236 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 suppliers11 claims11 services$13.90 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
2 suppliers11 claims11 services$70.12 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 20

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

MRS. ANDREA CRAWFORD RD
Dietitian, Registered
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (615) 284-5555
DR. LINDSEY DENNEY
Emergency Medicine
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (423) 433-7127
ANDREW W BOYD
Student in an Organized Health Care Education/Training Program
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (615) 284-5555
CELENA MARSHALL PHARMD
Pharmacist
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (615) 284-5235
EMMANUEL JOHNBOSCO MAMAH MD
Student in an Organized Health Care Education/Training Program
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (615) 284-5555
KIRSTEN AGOSTINELLI DIAZ
Registered Nurse
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (615) 284-5555
DR. THOMAS CLAYTON WHITWORTH MD
Pediatrics (Neonatal-Perinatal Medicine)
2000 CHURCH ST, SUITE #326 BAPTIST HOSPITAL
NASHVILLE, TN 37236
Davidson County (615) 284-5071
DR. JAMES SKYLAR DEAN II MD
Emergency Medicine
2000 CHURCH ST
NASHVILLE, TN 37236
Davidson County (937) 238-1065

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 Sophie Zhao's NPI number?

The NPI number for Sophie Zhao is 1477907921. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Sophie Zhao located?

Sophie Zhao practices at 2000 Church St, Nashville, TN 37236. The listed phone number is (615) 284-5843.

What is Sophie Zhao's specialty?

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

Is Sophie Zhao enrolled in Medicare?

Yes. Sophie Zhao 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 Sophie Zhao accept?

Health plans from Oscar Insurance Company list Sophie Zhao 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 Sophie Zhao affiliated with any hospitals?

According to CMS data, Sophie Zhao is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Sophie Zhao was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.