CONG ZHI ZHAO M.D.
NPI 1629248661
Psychiatry & Neurology - Neurology in Fresno, CA

Active since March 05, 2008PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
2335 E KASHIAN LN, SUITE 301, FRESNO, CA 93701(559) 264-9100(559) 264-9199 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cong Zhi Zhao M.d. NPPES

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

CONG ZHI ZHAO M.D. (NPI 1629248661) is an individual neurology provider in Fresno, California, licensed in California (A136412) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Medical College Of Wisconsin (2007).

NPPES Registry Identity

NPI1629248661
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCONG ZHI ZHAOCredential: M.D.
Location Address2335 E KASHIAN LN, SUITE 301Fresno, CA 93701-2230
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Fax(559) 264-9199
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2007
Enumeration DateMarch 5, 2008
Last NPPES UpdateAugust 21, 2015
NPI 1629248661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in CA · A136412 Licensed in MN · 58510 Licensed in MN · 107783
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2335 E KASHIAN LN, Fresno, CA 93701

Accepted 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

Cong Zhi 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 ID3779701271
PECOS Enrollment IDI20171103002548
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 7

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.
269 services168 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
66 services20 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.
57 services52 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
54 services15 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970
This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.
52 services33 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.
41 services36 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

Nurse Practitioner (Acute Care)
2335 E KASHIAN LN, SUITE 301
FRESNO, CA 93701
Nurse Practitioner (Family)
2335 E KASHIAN LN
FRESNO, CA 93701
Obstetrics & Gynecology
2335 E KASHIAN LN, SUITE 450
FRESNO, CA 93701
Clinic/Center (Oncology)
2335 E KASHIAN LN, SUITE 301
FRESNO, CA 93701
Psychiatry & Neurology (Pain Medicine)
2335 E KASHIAN LN, SUITE 301
FRESNO, CA 93701
Internal Medicine
2335 E KASHIAN LN
FRESNO, CA 93701
Social Worker (Clinical)
2335 E KASHIAN LN, SUITE 301
FRESNO, CA 93701
Psychiatry & Neurology (Neurology)
2335 E KASHIAN LN, SUITE 301
FRESNO, CA 93701

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 Cong Zhi Zhao's NPI number?

The NPI number for Cong Zhi Zhao is 1629248661. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Cong Zhi Zhao located?

Cong Zhi Zhao practices at 2335 E Kashian Ln Suite 301, Fresno, CA 93701. The listed phone number is (559) 264-9100.

What is Cong Zhi Zhao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Cong Zhi Zhao enrolled in Medicare?

Yes. Cong Zhi 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 Cong Zhi Zhao accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Cong Zhi 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 Cong Zhi Zhao affiliated with any hospitals?

According to CMS data, Cong Zhi Zhao is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Cong Zhi Zhao was last updated on August 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.