JUSTIN ZHAO MD
NPI 1730684564
Emergency Medicine in Dallas, TX

Active since March 25, 2018PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75284(214) 648-3916 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2022, Feb 4, 2022, Mar 25, 2018 (3 updates tracked since 2018).

About Justin Zhao Md NPPES

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

JUSTIN ZHAO MD (NPI 1730684564) is an individual emergency medicine provider in Dallas, Texas, licensed in Texas (T6088) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1730684564
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN ZHAOCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75284-3816
Mailing Address5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-8579 · (214) 648-3916
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2018
Enumeration DateMarch 25, 2018
Last NPPES UpdateAugust 3, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1730684564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · T6088 Licensed in NY · 309068
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X
5323 HARRY HINES BLVD, Dallas, TX 75284

Secondary Practice Location 1

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

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

Justin Zhao Md 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 ID8820491467
PECOS Enrollment IDI20220922002994
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
115 services115 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
103 services103 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75284 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 6

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

Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75284
Radiology (Diagnostic Radiology)
5323 HARRY HINES BLVD
DALLAS, TX 75284
Family Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75284
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75284
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75284
Internal Medicine (Critical Care Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75284

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 Justin Zhao's NPI number?

The NPI number for Justin Zhao is 1730684564. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Justin Zhao located?

Justin Zhao practices at 5323 Harry Hines Blvd, Dallas, TX 75284. The listed phone number is (214) 648-3916.

What is Justin Zhao's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Zhao enrolled in Medicare?

Yes. Justin 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 Justin Zhao accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Justin 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 Justin Zhao affiliated with any hospitals?

According to CMS data, Justin Zhao is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Justin Zhao was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.