Individual provider Active NPI

Zakia Iqbal Alavi, M.D.

  • Psychiatry Physician
  • Jackson, MI
National Provider Identifier
1154474617
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301059946 Issued in MI
Practice address
1200 N West Ave
Jackson, MI 49202-2179
Phone
(517) 796-4540
NPI assigned
Jan 19, 2007
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301059946 MI Primary
Child & Adolescent Psychiatry Physician 2084P0804X 4301059946 MI

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 1

IdentifierTypeStateIssuer
4118831 10MedicaidMI

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
I20050114000209 MI Practitioner - Psychiatry 2567411820 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059946MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 23, 2007 Accepting new patients
Michigan State University CurrentSince Apr 1, 2017 Accepting new patients
Michigan State University CurrentSince Apr 1, 2017 Accepting new patients
Capital Area Pathologists, PC Current Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University Current Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 23, 2007 Accepting new patients
Michigan State University Current Accepting new patients

Locations

25 Care Dr
Hillsdale, MI 49242
Phone (517) 416-0094

1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200

330 W Michigan Ave
Jackson, MI 49201
Phone (517) 706-7994

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1154474617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 W PRIMILIA LN",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017300",
            "telephone_number": "517-788-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-796-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "ZAKIA",
        "middle_name": "IQBAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301059946",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301059946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4118831 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.