KALISSA SANDY ZHANG MD
NPI 1801423942
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Kalissa Zhang's NPI number?

The NPI number for Kalissa Zhang is 1801423942. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Kalissa Zhang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kalissa Zhang was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

101 NICOLLS RD, DEPARTMENT OF ANESTHESIOLOGY, STONY BROOK, NY 11794(631) 444-2975 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kalissa Sandy Zhang Md NPPES

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

KALISSA SANDY ZHANG MD (NPI 1801423942) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801423942

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKALISSA SANDY ZHANGCredential: MD

Location Address101 NICOLLS RD, DEPARTMENT OF ANESTHESIOLOGYStony Brook, NY 11794-0001

Mailing Address101 Nicolls Rd, Department Of AnesthesiologyStony Brook, NY 11794-0001

Phone(631) 444-2975

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedMarch 26, 2020

✔ NPI 1801423942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 NICOLLS RD, Stony Brook, NY 11794

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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

Kalissa Sandy Zhang 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 ID3870024532

PECOS Enrollment IDI20241004002027

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.

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.

NARINDER SINGH M.D.

Internal Medicine