Zakia Iqbal Alavi, M.D.
Individual provider Active NPI Psychiatry Physician · Jackson, MI
NPI 1154474617 · NPPES record last updated Apr 28, 2022
Key facts
- NPI
- 1154474617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301059946 (MI)
- Practice address
- 1200 N West Ave
Jackson, MI 49202-2179 - Phone
- (517) 796-4540
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050114000209 | MI | Practitioner - Psychiatry | 2567411820 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059946 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan State University | Current | Accepting new patients | |
| Capital Area Pathologists, PC | Current | Accepting new patients | |
| Jackson-Hillsdale Community Mental Health Board | Current |
Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Jackson-Hillsdale Community Mental Health Board | Current |
Accepting new patients | |
| Michigan State University | Current |
Accepting new patients | |
| Michigan State University | Current |
Accepting new patients | |
| Michigan State University | Current | Accepting new patients |
Locations
25 Care Dr
Hillsdale, MI 49242
Phone (517) 439-2641
330 W Michigan Ave
Jackson, MI 49201
Phone (517) 706-7994
1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301059946 | MI | |
| Psychiatry Physician | 2084P0800X | 4301059946 | MI | Yes |
Addresses
Primary practice location
1200 N West Ave
Jackson, MI 49202-2179
Mailing address
3735 W Primilia LN
Jackson, MI 49201-7300
Phone (517) 788-7606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4118831 10 | Medicaid | MI |
Other providers in Jackson, MI
- Abdullah Khaled Al-Arfaj
- Manar Al-Juboori
- Fadi Alali
- Warda Z Alam
- Chidamber Bharath Alamelumangapuram
- Zaineb Burhan Albachachy
- Katherine Mary Albertson
- Robert Durffee Albertson III
- Heather Albrecht
- Ronda Kay Albrecht
All providers in Jackson, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.