DR. DAVID SHIYU ZHU MD
NPI 1821440751
Orthopaedic Surgery - Sports Medicine in Glen Carbon, IL

Active since July 03, 2016PECOS Enrolled
73.88/100
CMS Quality Rating
4802 S STATE ROUTE 159, GLEN CARBON, IL 62034(618) 288-4388 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, Jul 15, 2022, Jul 3, 2016 (3 updates tracked since 2016).

About Dr. David Shiyu Zhu Md NPPES

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

DR. DAVID SHIYU ZHU MD (NPI 1821440751) is an individual sports medicine provider in Glen Carbon, Illinois, licensed in Illinois (036.161379) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1821440751
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. DAVID SHIYU ZHUCredential: MD
Location Address4802 S STATE ROUTE 159Glen Carbon, IL 62034-1904
Mailing Address9468 Greystone PkwyBrecksville, OH 44141-2942
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2016
Enumeration DateJuly 3, 2016
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1821440751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in IL · 036.161379
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 125.069442 (IL)
4802 S STATE ROUTE 159, Glen Carbon, IL 62034

Secondary Practice Locations 3

Location 1818 E Broadway StSparta, IL 62286-1820 · Phone (618) 443-1337 · Fax (618) 443-1383
Location 21300 N Market StSparta, IL 62286-1048 · Phone (618) 443-1337 · Fax (618) 443-1383
Location 35555 Transportation BlvdGarfield Heights, OH 44125-5371 · Phone (216) 518-3479

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 (PECOS)

Dr. David Shiyu Zhu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436441458
PECOS Enrollment IDI20220921003340
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services73 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
98 services40 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
55 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 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.
39 services39 patients
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.
29 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

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.

73.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.79
Promoting Interoperability91
Improvement Activities40
Cost56.52

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Durable Medical Equipment & Medical Supplies
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Physical Therapist
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Physician Assistant (Surgical)
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Occupational Therapist (Hand)
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034

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 David Zhu's NPI number?

The NPI number for David Zhu is 1821440751. It was assigned to this individual provider in the NPPES registry on July 3, 2016.

Where is David Zhu located?

David Zhu practices at 4802 S State Route 159, Glen Carbon, IL 62034. The listed phone number is (618) 288-4388.

What is David Zhu's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is David Zhu enrolled in Medicare?

Yes. David Zhu is registered in the Medicare PECOS enrollment system.

What insurance does David Zhu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list David Zhu 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 David Zhu affiliated with any hospitals?

According to CMS data, David Zhu is affiliated with Gateway Regional Medical Center, Anderson Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for David Zhu was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.