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RANDAL ZHOU M.D.
NPI 1790198554
Surgery in New Haven, CT

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
40 TEMPLE ST STE 7B, NEW HAVEN, CT 06510(203) 785-6060 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2019, Mar 2, 2019 (2 updates tracked since 2019).

About Randal Zhou M.d. NPPES

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

RANDAL ZHOU M.D. (NPI 1790198554) is an individual surgery provider in New Haven, Connecticut, licensed in Connecticut (63911) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2014).

NPPES Registry Identity

NPI1790198554
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRANDAL ZHOUCredential: M.D.
Location Address40 TEMPLE ST STE 7BNew Haven, CT 06510-2715
Mailing Address3043 W 42nd St, Unit 4Chicago, IL 60632-2451
Phone(203) 785-6060
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2014
Enumeration DateJune 9, 2014
Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration
✔ NPI 1790198554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CT · 63911✔ Licensed in IL · 125064880
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
40 TEMPLE ST STE 7B, New Haven, CT 06510
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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

Randal 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 ID7719285691
PECOS Enrollment IDI20190821000151
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 2

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.
18 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 4

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

DR. ETHAN BALK PHD, RD
Dietitian, Registered (Nutrition, Metabolic)
40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6060
DANIELLE T FRIEDMAN MD
Surgery
40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6060
DR. GRIGORIY VITALYEVICH KLIMOVICH M.D.
Surgery
40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6060
STEPHANIE JESSICA DUPREE APRN
Nurse Practitioner (Family)
40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6060

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 Randal Zhou's NPI number?

The NPI number for Randal Zhou is 1790198554. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Randal Zhou located?

Randal Zhou practices at 40 Temple St Ste 7B, New Haven, CT 06510. The listed phone number is (203) 785-6060.

What is Randal Zhou's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Randal Zhou enrolled in Medicare?

Yes. Randal 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.

When was this NPI record last updated?

The NPPES record for Randal Zhou was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.