DR. ROLAND ZHANG (MD) – Family Medicine Physician, NPI 1003495417

DR. ROLAND ZHANG (MD) is a healthcare provider. based in Chicago, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. C1-0027154 (DE). The NPI Number for DR. ROLAND ZHANG (MD) is 1003495417

Main info

Male
Sole Proprietor
9 Years Of Experience
Name
DR. ROLAND ZHANG (MD)
NPI
1003495417
Phone
(518) 330-6591
Address
1122 N CLARK ST APT 2001
Enumeration Date
4 April 2021
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3025671500
Graduation Year
2017 (9 years ago)
PAC ID
7113464355
Group Practice PAC ID
4486080389
Professional Enrollment ID
I20240805004221
Address ID
DE199584901LE18068HWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,710 FAMILY PRACTICE in NY

Provider Addresses for DR. ROLAND ZHANG (MD)

  • 1122 N CLARK ST APT 2001

    CHICAGO, IL 606107882

    Phone: (518) 330-6591

    Type: Mailing

  • 200 MADISON AVE STE 2E

    ELMIRA, NY 149013219

    Phone: (607) 795-8035

    Fax: (607) 795-8125

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: PFIZER INC. ($39).

Total Amount

$243

General + Research + Ownership

Payments

11

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2024-08-05

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
I20240805004221IFamily PracticeDETBD

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 60610)

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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: 4486080389View full group profile
NameSpecialtyState
Clinical Social WorkerDE
Nurse PractitionerDE
Nurse PractitionerDE
Mental Health CounselorDE
Nurse PractitionerDE
Family PracticeNY
Physician AssistantDE
Nurse PractitionerDE
Nurse PractitionerDE
Nurse PractitionerPA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ROLAND ZHANG (MD)?
NPI 1003495417 is assigned to DR. ROLAND ZHANG (MD) under the national enumeration system.
Is DR. ROLAND ZHANG (MD)'s NPI currently valid?
The extract we use shows DR. ROLAND ZHANG (MD) as active.
What does DR. ROLAND ZHANG (MD) treat or focus on?
Patients typically see DR. ROLAND ZHANG (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ROLAND ZHANG (MD)?
The page summarizes Chicago, Illinois for DR. ROLAND ZHANG (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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