Individual provider Active NPI

Daniel Seth Zuckerbrod, M.D.

  • Ophthalmology Physician
  • Detroit, MI
National Provider Identifier
1033104773
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301077700 Issued in MI
Practice address
14400 West McNichols
Detroit, MI 48235-3916
Phone
(313) 341-3450
Fax
(313) 341-2135
NPI assigned
Sep 20, 2005
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301077700 MI Primary

Addresses

Primary practice location

14400 West McNichols
Detroit, MI 48235-3916

Mailing address

43996 Woodward Ave
Suite 101
Bloomfield Hills, MI 48302-5027
Phone (248) 332-4544

Other identifiers 3

IdentifierTypeStateIssuer
4604360MedicaidMI
4604388MedicaidMI
4604379MedicaidMI

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
I20050103000273 MI Practitioner - Ophthalmology 3779541172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

43996 Woodward Ave
Suite 101
Bloomfield Hills, MI 48302-5028
Phone (248) 332-4544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.71 of 100Reported as group
Quality
91.62
Improvement activities
40
Cost
77.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Burman & Zuckerbrod Ophthalmology Associates, PC CurrentSince Jul 1, 2004 Accepting new patients
Burman & Zuckerbrod Ophthalmology Associates, P.C Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients
Burman & Zuckerbrod Ophthalmology Associates, PC Past Accepting new patients

Locations

10 W Square Lake Rd
Ste 102
Bloomfld Hls, MI 48302
Phone (248) 332-4544

43996 Woodward Ave
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 332-4544

14400 W McNichols Rd
Detroit, MI 48235
Phone (313) 341-3450

7992 N Wayne Rd
Westland, MI 48185
Phone (313) 522-6131

Interoperability endpoints

  • Direct secure messaging: dzuckerb@direct.dmc.org
  • Direct secure messaging: dzuckerbrod@burmanzuckerbrod.direct.eyemdemr.com
  • Direct secure messaging: dzuckerbrod1158824@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1033104773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025027",
            "telephone_number": "248-332-4544",
            "fax_number": "248-332-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 WEST MCNICHOLS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353916",
            "telephone_number": "313-341-3450",
            "fax_number": "313-341-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERBROD",
        "first_name": "DANIEL",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301077700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4604360",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4604388",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4604379",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.