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DR. ZHIHENG HE M.D., PH.D.
NPI 1831427640
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cambridge, MA

Active since December 07, 2009PECOS EnrolledAccepts Medicare Assignment
1493 CAMBRIDGE STREET, MEDICAL SPECIALTY, CAMBRIDGE, MA 02139(617) 665-1552 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Zhiheng He M.d., Ph.d. NPPES

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

DR. ZHIHENG HE M.D., PH.D. (NPI 1831427640) is an individual endocrinology, diabetes & metabolism provider in Cambridge, Massachusetts, licensed in Massachusetts (246747) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth's Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1831427640
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ZHIHENG HECredential: M.D., PH.D.
Location Address1493 CAMBRIDGE STREET, MEDICAL SPECIALTYCambridge, MA 02139
Mailing Address1493 Cambridge Street, Medical SpecialtyCambridge, MA 02139 · (617) 665-1552
Phone(617) 665-1552
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 7, 2009
Last NPPES UpdateFebruary 13, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1831427640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MA · 246747
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 246747 (MA)
1493 CAMBRIDGE STREET, Cambridge, MA 02139
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Zhiheng He M.d., Ph.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 ID1153542576
PECOS Enrollment IDI20141028000187
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 8

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.
104 services92 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.
66 services54 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
36 services13 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
26 services14 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.
17 services17 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers44 claims142 services$6.44 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers25 claims46 services$1.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers18 claims18 services$186.41 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.

MARGARET A COLEMAN M.D.
Pediatrics
1493 CAMBRIDGE STREET, CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1264
LYNN MCCARTHY PHARMD
Pharmacist
1493 CAMBRIDGE STREET
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1438
MS. CLAUDIA MAGDANZ RN
Registered Nurse
1493 CAMBRIDGE STREET, CAMBRIDGE HEALTH ALLIANCE
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1552
MR. COREY TODD LEVY M.ED
Psychiatric Unit
1493 CAMBRIDGE STREET
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
DR. ELIZABETH FREIDIN BAUMANN PH.D.
Psychologist (Clinical)
1493 CAMBRIDGE STREET
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1888
HANNA CORDES SOUMERAI
Social Worker
1493 CAMBRIDGE STREET, CHA CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
MRS. SAMANTHA RODRIGUES RN
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE STREET, CAMBRIDGE PRIMARY CARE 2ND FLR
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1068
GREGORY PHILIP HARRINGTON M.D.
Radiology (Diagnostic Radiology)
1493 CAMBRIDGE STREET, CAMBRIDGE RADIOLOGY ASSC
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1599

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 Zhiheng He's NPI number?

The NPI number for Zhiheng He is 1831427640. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Zhiheng He located?

Zhiheng He practices at 1493 Cambridge Street Medical Specialty, Cambridge, MA 02139. The listed phone number is (617) 665-1552.

What is Zhiheng He's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Zhiheng He enrolled in Medicare?

Yes. Zhiheng He 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 Zhiheng He accept?

Health plans from Anthem Blue Cross and Blue Shield list Zhiheng He 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 Zhiheng He affiliated with any hospitals?

According to CMS data, Zhiheng He is affiliated with St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for Zhiheng He was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.