DR. YONGHUA ZHANG M.D.
NPI 1740503960
Psychiatry & Neurology - Neurology in Naperville, IL

Active since March 02, 2010PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
120 SPALDING DR STE 101, NAPERVILLE, IL 60540(630) 527-7730 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yonghua Zhang M.d. NPPES

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

DR. YONGHUA ZHANG M.D. (NPI 1740503960) is an individual neurology provider in Naperville, Illinois, licensed in Illinois (036-124698) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1740503960
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. YONGHUA ZHANGCredential: M.D.
Location Address120 SPALDING DR STE 101Naperville, IL 60540-6599
Mailing Address120 Spalding Dr Ste 101Naperville, IL 60540-6599 · (630) 527-7730
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 2, 2010
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
NPI 1740503960 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 IL · 036-124698 Licensed in IL · 036124698
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.
120 SPALDING DR STE 101, Naperville, IL 60540

Other Identifiers 1

Medicaid036124698IL

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

Dr. Yonghua Zhang 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 ID4183758725
PECOS Enrollment IDI20100817001578
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 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.
228 services197 patients
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.
131 services115 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
114 services114 patients
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.
39 services28 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.
35 services22 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Neurology)
120 SPALDING DR STE 101
NAPERVILLE, IL 60540
Psychiatry & Neurology (Neurology)
120 SPALDING DR STE 101
NAPERVILLE, IL 60540
Pain Medicine (Pain Medicine)
120 SPALDING DR STE 101
NAPERVILLE, IL 60540
Psychiatry & Neurology (Neurology)
120 SPALDING DR STE 101
NAPERVILLE, IL 60540
Neurological Surgery
120 SPALDING DR STE 101
NAPERVILLE, IL 60540
Physician Assistant
120 SPALDING DR STE 101
NAPERVILLE, IL 60540
Counselor (Professional)
120 SPALDING DR STE 101
NAPERVILLE, IL 60540

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 Yonghua Zhang's NPI number?

The NPI number for Yonghua Zhang is 1740503960. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Yonghua Zhang located?

Yonghua Zhang practices at 120 Spalding Dr Ste 101, Naperville, IL 60540. The listed phone number is (630) 527-7730.

What is Yonghua Zhang's specialty?

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

Is Yonghua Zhang enrolled in Medicare?

Yes. Yonghua Zhang 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 Yonghua Zhang accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Yonghua Zhang 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 Yonghua Zhang affiliated with any hospitals?

According to CMS data, Yonghua Zhang is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Yonghua Zhang was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.