Individual provider Active NPI

Summer Zayed, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1033711775
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010257 Issued in MI
Practice address
18100 Oakwood Blvd
Dearborn, MI 48124-4085
Phone
(313) 438-7992
Fax
(313) 438-7990
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010257 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd
Dearborn, MI 48124-4085

Mailing address

31235 Hennepin St
Garden City, MI 48135-1474
Phone (734) 882-0831

Other practice location 1

31235 Hennepin St
Garden City, MI 48135-1474
Phone (734) 882-0831

Other practice location 2

5280 Oakman Blvd Ste 1
Dearborn, MI 48126-4044
Phone (313) 846-1997

Other practice location 3

2649 Crooks Rd
Troy, MI 48084-4714
Phone (248) 643-0044

Other practice location 4

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Other practice location 5

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-6899

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address szayed1360497@direct.beaumont.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222002918 MI Practitioner - Physician Assistant 6709298409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18100 Oakwood Blvd
Dearborn, MI 48124-4085

28100 Grand River Ave
Farmington Hills, MI 48336-5970

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

5400 Fort St
Trenton, MI 48183-4630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010257MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Medical P C CurrentSince Jan 1, 2021 Accepting new patients
Oakwood Ambulatory LLC Past Accepting new patients

Locations

2649 Crooks Rd
Troy, MI 48084
Phone (248) 643-0044

Interoperability endpoints

  • Direct secure messaging: szayed1360497@direct.beaumont.edu
  • Direct secure messaging: szayed1263044@epic00.shdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1033711775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31235 HENNEPIN ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351474",
            "telephone_number": "734-882-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-438-7992",
            "fax_number": "313-438-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31235 Hennepin St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481351474",
            "country_code": "US",
            "telephone_number": "734-882-0831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5280 Oakman Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481264044",
            "country_code": "US",
            "telephone_number": "313-846-1997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2649 Crooks Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844714",
            "country_code": "US",
            "telephone_number": "248-643-0044",
            "fax_number": "248-643-0701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "fax_number": "734-446-9750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301507",
            "country_code": "US",
            "telephone_number": "313-473-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAYED",
        "first_name": "SUMMER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szayed1360497@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "468 Cadieux Rd",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.