Look up the most recent NPI and PECOS records

Dan Zhao

Internal Medicine

Allopathic & Osteopathic Physicians

1515 Holcombe Blvd, Houston, TX 77030-4000

PECOS Enrollment

Based on the most recent information from CMS, provider Dan Zhao is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1306257472
Provider Type
Individual
Full Name
Zhao, Dan
Title
Dr.
Credential
MD/PHD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/12/2014
Last Updated
4/2/2021

Contact Information

Practice Location

1515 Holcombe Blvd, Houston, TX 77030-4000

(713) 792-6161

Unlisted Fax

Mailing Location

PO Box 4439, Houston, TX 77210-4439

(713) 792-2991

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License S7985 Texas
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 147283 California

Provider Identifiers

ID	Description	Issuer
ID 420069301	Description Medicaid	Issuer Unlisted Texas
ID 420069302	Description Other	Issuer MEDICAID- CSHCN Texas

Dan Zhao

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

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Issuer

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Shah, Chintan Pareshbhai

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Kamble, Rammurti

Williams, Madison Hope