DR. SHURUN ZHAO (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1578603767

DR. SHURUN ZHAO (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. ME99158 (FL). The NPI Number for DR. SHURUN ZHAO (M.D.) is 1578603767

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHURUN ZHAO (M.D.)
NPI
1578603767
Phone
(813) 598-2893
Address
4431 WALTHAM DR
Enumeration Date
7 February 2007
Last Update Date
17 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8633860786
Graduation Year
1983 (43 years ago)
PAC ID
7719077734
Group Practice PAC ID
4082682059
Professional Enrollment ID
I20071214000144
Address ID
FL338705548SE3109XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for DR. SHURUN ZHAO (M.D.)

  • 4431 WALTHAM DR

    TAMPA, FL 336347345

    Phone: (813) 598-2893

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-12-14

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
I20071214000144IPathologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity5,0921,512$0
88312Special stained specimen slides to identify organisms including interpretation and report207187$0
88304Pathology examination of tissue using a microscope, moderately low complexity5852$0
88342Special stained specimen slides to examine tissue, initial procedure1616$0
View full utilization report →

Insurance plans in this area (ZIP 33634)

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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: 4082682059View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyFL
Physician AssistantFL
Physician AssistantFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
D E R M A T O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

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Frequently asked questions

Where can patients find DR. SHURUN ZHAO (M.D.)'s NPI?
You can confirm DR. SHURUN ZHAO (M.D.) with NPI 1578603767; it appears in the national provider directory.
Is DR. SHURUN ZHAO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. SHURUN ZHAO (M.D.) list a primary specialty?
If you are matching referrals, note Anatomic Pathology & Clinical Pathology Physician for DR. SHURUN ZHAO (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. SHURUN ZHAO (M.D.)?
The snapshot lists Tampa, Florida for DR. SHURUN ZHAO (M.D.); download NPPES for the complete set.
What if Tampa, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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