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QIANLI ZHUANG M.D.
NPI 1730599028
Internal Medicine in Columbus, OH

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment
82.53/100
CMS Quality Rating
3555 OLENTANGY RIVER ROAD, SUITE 1080, COLUMBUS, OH 43214(614) 268-8146(614) 268-8406 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Qianli Zhuang M.d. NPPES

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

QIANLI ZHUANG M.D. (NPI 1730599028) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35125730) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1730599028
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameQIANLI ZHUANGCredential: M.D.
Location Address3555 OLENTANGY RIVER ROAD, SUITE 1080Columbus, OH 43214-3984
Mailing Address3555 Olentangy River Road, Suite 1080Columbus, OH 43214-3984 · (614) 268-8146 · Fax (614) 268-8406
Phone(614) 268-8146
Fax(614) 268-8406
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMay 7, 2014
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1730599028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35125730
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.
3555 OLENTANGY RIVER ROAD, Columbus, OH 43214
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Other Identifiers 2

Medicare PINH384700OH
Medicaid0135050OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Qianli Zhuang 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 ID7315252731
PECOS Enrollment IDI20150813012103
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.
211 services95 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.
162 services81 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.
89 services89 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.
82 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

82.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

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
1 supplier12 claims12 services$13.96 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 suppliers15 claims15 services$64.85 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 12

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

MRS. KELLY ANN MEXICOTT NURSE PRACTITIONER N
Nurse Practitioner
3555 OLENTANGY RIVER ROAD, NATIONWIDE CHILDRENS HOSPITAL AT RIVERSIDE METHODIST HO
COLUMBUS, OH 43214
Franklin County (614) 566-5366
DR. KEVIN P MCANINCH D.O.
Internal Medicine
3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8134
THOMAS HEWITT COLEMAN MD
Allergy & Immunology
3555 OLENTANGY RIVER ROAD, SUITE #3090
COLUMBUS, OH 43214
Franklin County (614) 267-9263
BOYD D CURTIS M.D.
Internal Medicine
3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
PAUL HE D.O.
Internal Medicine
3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
DR. THOMAS JOHN PARKER M.D.
Internal Medicine (Pulmonary Disease)
3555 OLENTANGY RIVER ROAD, SUITE 3070
COLUMBUS, OH 43214
Franklin County (614) 566-2166
BRET WIEGMAN CNP
Nurse Practitioner (Acute Care)
3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
SVETLANA T NOVAK M.D.
Internal Medicine
3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164

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 Qianli Zhuang's NPI number?

The NPI number for Qianli Zhuang is 1730599028. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Qianli Zhuang located?

Qianli Zhuang practices at 3555 Olentangy River Road Suite 1080, Columbus, OH 43214. The listed phone number is (614) 268-8146.

What is Qianli Zhuang's specialty?

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

Is Qianli Zhuang enrolled in Medicare?

Yes. Qianli Zhuang 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 Qianli Zhuang accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Qianli Zhuang 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 Qianli Zhuang affiliated with any hospitals?

According to CMS data, Qianli Zhuang is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Qianli Zhuang was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.