Active NPI
Thomas John Zahari
- Pediatrics Physician
- Shelby Township, MI
National Provider Identifier
1053975391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101026661
- Practice address
- 15125 22 Mile Rd
Shelby Township, MI 48315-4406 - Phone
- (586) 532-0599
- NPI assigned
- Apr 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 5101026661 | MI | Primary |
Addresses
Primary practice location
15125 22 Mile Rd
Shelby Township, MI 48315-4406
Mailing address
15125 22 Mile Rd
Shelby Township, MI 48315-4406
Phone (586) 532-0599
Other practice location 1
44472 Bayview Ave Apt 15303
Clinton Township, MI 48038-7016
Phone (734) 308-9164
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617002486 | MI | Order and Referring Only - Pediatric Medicine | 4880927201 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026661 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Pediatric Associates and Child Lung Center PC | Pediatrics | Current | Accepting new patients |
Locations
36555 26 Mile Rd
Ste 2100
Lenox, MI 48048
Phone (586) 532-0599
15125 22 Mile Rd
Shelby Township, MI 48315
Phone (586) 532-0599
Interoperability endpoints
- thomas.zahari.1@7131.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Shelby Township, MI
- NPI 1124051990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1053975391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15125 22 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154406",
"telephone_number": "586-532-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15125 22 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154406",
"telephone_number": "586-532-0599"
}
],
"practiceLocations": [
{
"address_1": "44472 Bayview Ave Apt 15303",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480387016",
"country_code": "US",
"telephone_number": "734-308-9164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAHARI",
"first_name": "THOMAS",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-23",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101026661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.