Individual provider Active NPI

Michael Zielinski, DO

  • Family Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1073568739
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009019 Issued in MI
Practice address
8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496
Phone
(833) 447-2775
NPI assigned
May 23, 2006
Last updated
May 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009019 MI Primary

Addresses

Primary practice location

8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496

Mailing address

720 E 11 Mile Rd
Royal Oak, MI 48067-1964
Phone (248) 733-5700

Other identifiers 2

IdentifierTypeStateIssuer
114391449MedicaidMI
MZ009019OtherMIBCBS

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
I20040817000103 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 3577536028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1537 E Hill Rd
Grand Blanc, MI 48439-5190
Phone (810) 333-7309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11749CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Family Care PLC Family Medicine CurrentSince Mar 15, 2021 Accepting new patients
Degara, PLLC Family Medicine Past Accepting new patients

Locations

1537 E Hill Rd
Ste 400
Grand Blanc, MI 48439
Phone (810) 333-7309

Organizations & group practices 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1073568739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671964",
            "telephone_number": "248-733-5700",
            "fax_number": "248-733-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "833-447-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114391449",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MZ009019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.