QIWEI ZHANG (M.D., PH.D.) – Family Medicine Physician, NPI 1316101330

QIWEI ZHANG (M.D., PH.D.) is a healthcare provider. based in Gardner, Massachusetts. specializing in HOSPITALIST. They hold the professional credentials M.D., PH.D.. They hold a License No. 19167 (NH). The NPI Number for QIWEI ZHANG (M.D., PH.D.) is 1316101330

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
QIWEI ZHANG (M.D., PH.D.)
NPI
1316101330
Phone
(978) 632-3420
Address
242 GREEN ST
Enumeration Date
18 July 2008
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
7214115336
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20130206000207
Address ID
MA018050001Bu41XXXRDXX300

Contacts

Secure Messaging
qzhang38755@direct.southcoast.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,251 HOSPITALIST in MA

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Provider Addresses for QIWEI ZHANG (M.D., PH.D.)

  • Heywood Hospital, 242, Green Street, Gardner, Worcester County, Massachusetts, 01440, United States

    GARDNER, MA 014401336

    Phone: (978) 632-3420

    Type: Mailing

  • 580 COURT ST

    KEENE, NH 034311718

    Phone: (603) 354-5400

    Type: Location

  • 242 Green St

    Gardner, MA 014401336

    Phone: (978) 632-3420

    Type: Location

  • 101 Page St

    New Bedford, MA 027403464

    Phone: (508) 973-5919

    Fax: (508) 973-5916

    Type: Location

  • 590 Court St

    Keene, NH 034311719

    Phone: (603) 354-5400

    Type: Location

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: 2018-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130206000207IHospitalistMATBD
I20180627003154IHospitalistNHTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes171170$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 01440)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Can I verify QIWEI ZHANG (M.D., PH.D.) with an NPI only?
You can start verification with NPI 1316101330 for QIWEI ZHANG (M.D., PH.D.), then check state licensing separately.
Does the file indicate QIWEI ZHANG (M.D., PH.D.) is practicing under active NPI?
Directory data currently reports QIWEI ZHANG (M.D., PH.D.) as active.
What is QIWEI ZHANG (M.D., PH.D.) best known for clinically?
Directory data describes QIWEI ZHANG (M.D., PH.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for QIWEI ZHANG (M.D., PH.D.)?
QIWEI ZHANG (M.D., PH.D.)'s geographic hint is Gardner, Massachusetts in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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