ZHENYANG ZHAO MD
NPI 1790289171
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Atlanta, GA

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322(404) 778-2020 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 31, 2024, Jul 12, 2022, Mar 21, 2018 (3 updates tracked since 2018).

About Zhenyang Zhao Md NPPES

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

ZHENYANG ZHAO MD (NPI 1790289171) is an individual ophthalmic plastic and reconstructive surgery provider in Atlanta, Georgia, licensed in Georgia (101018) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790289171
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameZHENYANG ZHAOCredential: MD
Location Address1365 CLIFTON RD NE BLDG BAtlanta, GA 30322-1060
Mailing Address1365 Clifton Rd Ne Bldg BAtlanta, GA 30322-1060 · (404) 778-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 21, 2018
Last NPPES UpdateAugust 23, 20253 updates tracked since enumeration
NPPES CertifiedAugust 23, 2025
NPI 1790289171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in GA · 101018
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 4301506689 (MI), 101018 (GA)
1365 CLIFTON RD NE BLDG B, Atlanta, GA 30322

Other Names 1

Other Name (5)Dr. James Zhao Md

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

Zhenyang 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 ID5294069951
PECOS Enrollment IDI20241101003027
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 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.
24 services24 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Optometrist
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Nurse Practitioner (Primary Care)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Nurse Practitioner (Pediatrics)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Surgery
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322

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 Zhenyang Zhao's NPI number?

The NPI number for Zhenyang Zhao is 1790289171. It was assigned to this individual provider in the NPPES registry on March 21, 2018. The provider is also known as Dr. James Zhao MD.

Where is Zhenyang Zhao located?

Zhenyang Zhao practices at 1365 Clifton Rd NE Bldg B, Atlanta, GA 30322. The listed phone number is (404) 778-2020.

What is Zhenyang Zhao's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Zhenyang Zhao enrolled in Medicare?

Yes. Zhenyang 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 Zhenyang Zhao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Zhenyang 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 Zhenyang Zhao affiliated with any hospitals?

According to CMS data, Zhenyang Zhao is affiliated with Emory University Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Zhenyang Zhao was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.