Active NPI
Fayda Zakaria, MD
- Family Medicine Physician
- Dearborn, MI
National Provider Identifier
1104896695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- FZ078213
- Practice address
- 2200 Monroe St
Dearborn, MI 48124-3058 - Phone
- (313) 562-6607
- Fax
- (313) 562-5851
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FZ078213 | MI | Primary |
Addresses
Primary practice location
2200 Monroe St
Dearborn, MI 48124-3058
Mailing address
5575 Meadow Wood LN
Bloomfield Hills, MI 48302-4028
Phone (313) 562-6607
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FZ078213 | Other | MI | LICENSE |
| 700H219330 | Other | MI | BLUE CROSS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dearborn Physical Therapy LTD
Practice addresses (Care Compare)
1711 Monroe St
Dearborn, MI 48124-2914
Phone (313) 562-9100
23852 Michigan Ave
Dearborn, MI 48124-1829
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Taylor
- Beaumont Hospital - Farmington Hills
- Corewell Health Wayne Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FZ078213 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayda Zakaria M.D.P.C. | Family Medicine | Current | Accepting new patients |
| Affiliated Medical of Dearborn P.L.L.C. | Past | Accepting new patients |
Locations
1711 Monroe St
Dearborn, MI 48124
Phone (313) 359-9361
2200 Monroe St
Dearborn, MI 48124
Phone (313) 274-0990
2200 Monroe St
Ste B
Dearborn, MI 48124
Phone (313) 562-0773
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1528259835
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1235109786
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1104896695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 MEADOW WOOD LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483024028",
"telephone_number": "313-562-6607",
"fax_number": "313-562-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243058",
"telephone_number": "313-562-6607",
"fax_number": "313-562-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKARIA",
"first_name": "FAYDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "FZ078213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "FZ078213",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "700H219330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.
- 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.