Khalid Sabah Zakaria, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301075860 Issued in MI

Practice address

1711 Monroe St
Dearborn, MI 48124-2914

Phone

(313) 562-9100

Fax

(313) 562-5851

NPI assigned

Aug 16, 2005

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avanti Home Health Care Home health agency, Novi, MI, CCN 237668
• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Maple Manor Rehab Center of Novi Inc Nursing home, Novi, MI, CCN 235669

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kzakaria1158584@direct.hfhs.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Serenity Home Hospice LLC

  • Community Based Hospice Care Agency
  • Dearborn, MI
  • NPI 1649904830

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control

  CMS ownership

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

• Meded Specialists LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1700549201
  Medicare reassignment NPD Authorized official
• Elite Medical Group PC

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1801637293
  Medicare reassignment NPD
• Independent Observation Physicians PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southfield, MI
  • NPI 1700119500
  Medicare reassignment NPD
• Serenity Home Hospice LLC

  • Community Based Hospice Care Agency
  • Dearborn, MI
  • NPI 1649904830
  NPD Authorized official
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  NPD (past)
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Pediatrics

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1477716165
  NPD (past)

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

• Avanti Home Health Care PLLC

  • Home Health Agency
  • Novi, MI
  • NPI 1891904405
  Care Compare affiliation
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• Maple Manor Rehab Center of Novi Inc.

  • Skilled Nursing Facility
  • Novi, MI
  • NPI 1851738652

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1033101084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242914",
            "telephone_number": "248-444-8830",
            "fax_number": "313-562-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242914",
            "telephone_number": "313-562-9100",
            "fax_number": "313-562-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKARIA",
        "first_name": "KHALID",
        "middle_name": "SABAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-04-10",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465310310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Razane Zain
• Syed Zain, NP-BC
• Fatme Ahmad Zaiour, DNP
• Tiffany Kays Zair, O.D
• Fayda Zakaria, MD
• Kais Zakharia, MD
• Nicole Catherine Zakhem, ACNP
• Mina Zaki, MD
• Amber Marie Tanana Zakrzewski, LMSW
• Ahmad Zalt

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.