Individual provider Active NPI

Ahed Zayzafoon, M.D.

  • Internal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1023340700
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301095729 Issued in MI
Practice address
601 John St
Box 74
Kalamazoo, MI 49007-5341
Phone
(269) 341-8481
Fax
(269) 341-7781
NPI assigned
Feb 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 336.085504 IL
Addiction Medicine (Internal Medicine) Physician 207RA0401X 4301095729 MI
Internal Medicine Physician 207R00000X 4301095729 MI Primary

Addresses

Primary practice location

601 John St
Box 74
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-8419

Other identifiers 4

IdentifierTypeStateIssuer
1417961137OtherMIBCBSM - BMH
Z215-0007-6163OtherILDRIVER LICENSE
1235131137OtherMIBCBSM - BLH
1023340700MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000519 MI Practitioner - Internal Medicine 0446446694 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

300 N Ave
Battle Creek, MI 49017-3307
Phone (888) 258-0875

601 John St
Kalamazoo, MI 49007-5377

701 S Health Pkwy
Three Rivers, MI 49093-8354

701 S Health Pkwy
Three Rivers HLTH
Three Rivers, MI 49093-8352
Phone (574) 647-1817

711 S Health Pkwy
Suite 1
Three Rivers, MI 49093-8354
Phone (269) 273-8557

715 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 273-8471

Hospital & facility affiliations

  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Three Rivers Health Rehab Pavilion Inpatient rehabilitation facility, Three Rivers, MI, CCN 23T015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336.085504ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital Internal Medicine CurrentSince Jun 3, 2012 Accepting new patients
Three Rivers Health System, Inc CurrentSince Nov 17, 2023 Accepting new patients
Bronson Methodist Hospital CurrentSince Jun 3, 2012 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 15, 2012 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Sound Inpatient Physicians-Michigan PLLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Jun 25, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine Current Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Jun 25, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Bronson South Haven Hospital Internal Medicine CurrentSince Oct 15, 2012 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Ascension Borgess Allegan Hospital Current Accepting new patients
Pathology Services of Southwestern Michigan, PC Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Apogee Medical Group, Michigan, PC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Ascension Borgess Allegan Hospital Current Accepting new patients
Bronson Lakeview Hospital CurrentSince Jun 3, 2012 Accepting new patients
Three Rivers Health System, Inc CurrentSince Nov 17, 2023 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Ascension Borgess Hospital CurrentSince Nov 1, 2011 Accepting new patients
Ascension Borgess Hospital CurrentSince Nov 1, 2011 Accepting new patients
Three Rivers Health System, Inc Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

117 W Paterson St
Kalamazoo, MI 49007

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

601 John St
#74
Kalamazoo, MI 49007
Phone (269) 341-8481

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023340700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8419",
            "fax_number": "269-341-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 74",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8481",
            "fax_number": "269-341-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYZAFOON",
        "first_name": "AHED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336.085504",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301095729",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301095729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BMH",
            "identifier": "1417961137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "Z215-0007-6163",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BLH",
            "identifier": "1235131137",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023340700",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.