YING ZHU MD
NPI 1801858840
Family Medicine in Wilmington, DE

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
27.4/100
CMS Quality Rating
1941 LIMESTONE RD, SUITE211, WILMINGTON, DE 19808(302) 998-1151(302) 998-1154 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ying Zhu Md NPPES

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

YING ZHU MD (NPI 1801858840) is an individual family medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0006594) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1985).

NPPES Registry Identity

NPI1801858840
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameYING ZHUCredential: MD
Location Address1941 LIMESTONE RD, SUITE211Wilmington, DE 19808-5408
Mailing Address1941 Limestone Rd, Suite 211Wilmington, DE 19808-5408 · (302) 998-1151 · Fax (302) 998-1154
Fax(302) 998-1154
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1985
Enumeration DateApril 5, 2006
Last NPPES UpdateJune 26, 2014
NPI 1801858840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · C1-0006594
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1941 LIMESTONE RD, Wilmington, DE 19808

Other Identifiers 3

Medicare UPINH68512DE
Medicare ID-Type Unspecified010084V95DE
Medicaid1000022193DE

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

Ying Zhu 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 ID9436342037
PECOS Enrollment IDI20101014001151
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,693 services298 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
419 services181 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
155 services135 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
87 services87 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
86 services75 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
82 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

27.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost91.35

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$23.29 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$4.76 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$8.92 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier26 claims722 services$2.93 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims476 services$4.14 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims6,531 services$0.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Medicine & Rehabilitation (Sports Medicine)
1941 LIMESTONE RD
WILMINGTON, DE 19808
Occupational Therapist
1941 LIMESTONE RD, STE 209
WILMINGTON, DE 19808
Surgery
1941 LIMESTONE RD, STE 213
WILMINGTON, DE 19808
Audiologist
1941 LIMESTONE RD
WILMINGTON, DE 19808
Internal Medicine
1941 LIMESTONE RD, SUITE 114
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE RD, SUITE 101
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE RD, STE 101
WILMINGTON, DE 19808
Surgery
1941 LIMESTONE RD, SUITE 201
WILMINGTON, DE 19808

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 Ying Zhu's NPI number?

The NPI number for Ying Zhu is 1801858840. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Ying Zhu located?

Ying Zhu practices at 1941 Limestone Rd Suite211, Wilmington, DE 19808. The listed phone number is (302) 998-1151.

What is Ying Zhu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ying Zhu enrolled in Medicare?

Yes. Ying Zhu 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 Ying Zhu was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.