TIANHUA ZHOU M.D.
NPI 1740715887
Internal Medicine - Cardiovascular Disease in Worcester, MA

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3452(774) 442-7657 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Jul 29, 2020, Jul 3, 2020 and 1 more (4 updates tracked since 2017).

About Tianhua Zhou M.d. NPPES

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

TIANHUA ZHOU M.D. (NPI 1740715887) is an individual cardiovascular disease provider in Worcester, Massachusetts, licensed in Massachusetts (1022125) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740715887
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTIANHUA ZHOUCredential: M.D.
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Fax(774) 442-7657
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateApril 26, 2017
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1740715887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 1022125
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 70970-20 (WI)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 1022125 (MA)
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Locations 2

Location 1361 Darragh St, Apt 202Pittsburgh, PA 15213-2553 · Phone (515) 783-7240
Location 2202 S PARK STMADISON, WI 53715-1507 · Phone (608) 417-5695

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tianhua Zhou 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 ID1951671908
PECOS Enrollment IDI20260513000572
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.

Medicare Billing Reassignment

Medicare enrollment records show Tianhua Zhou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Tianhua Zhou's NPI number?

The NPI number for Tianhua Zhou is 1740715887. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Tianhua Zhou located?

Tianhua Zhou practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3452.

What is Tianhua Zhou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Tianhua Zhou enrolled in Medicare?

Yes. Tianhua Zhou 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.

Which organization bills Medicare for Tianhua Zhou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tianhua Zhou reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tianhua Zhou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tianhua Zhou accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Tianhua Zhou 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 Tianhua Zhou affiliated with any hospitals?

According to CMS data, Tianhua Zhou is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Tianhua Zhou was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.