HUAITAO ZHANG (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1114504172

HUAITAO ZHANG (DPM) is a healthcare provider. based in Livermore, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5994 (CA). The NPI Number for HUAITAO ZHANG (DPM) is 1114504172

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
HUAITAO ZHANG (DPM)
NPI
1114504172
Phone
(925) 455-1555
Address
3090 INDEPENDENCE DR STE 110
Enumeration Date
25 March 2021
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
9254551555
Graduation Year
2021 (5 years ago)
PAC ID
0749622595
Group Practice PAC ID
0143246686
Professional Enrollment ID
I20240523004072
Address ID
CA945504505LI487XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

Provider Addresses for HUAITAO ZHANG (DPM)

  • 3090 INDEPENDENCE DR STE 110

    LIVERMORE, CA 945519493

    Phone: (925) 455-1555

    Type: Mailing

  • 710 LAWRENCE EXPY

    SANTA CLARA, CA 950515173

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Voom Medical Devices, Inc. ($24).

Total Amount

$81

General + Research + Ownership

Payments

4

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240523004072IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94551)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143246686View full group profile
NameSpecialtyState
-CA
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

How do I look up HUAITAO ZHANG (DPM) by NPI?
Use NPI 1114504172 when you need to reference HUAITAO ZHANG (DPM) in forms, claims, or directories.
Does this profile mean HUAITAO ZHANG (DPM) is currently active?
Yes — HUAITAO ZHANG (DPM) appears active in the national provider directory.
What field does HUAITAO ZHANG (DPM) work in?
You can think of HUAITAO ZHANG (DPM) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for HUAITAO ZHANG (DPM)?
We surface Livermore, California for HUAITAO ZHANG (DPM) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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