Individual provider Active NPI

Zeinab Moubadder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dearborn, MI
National Provider Identifier
1164012720
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
590140046 Issued in MI
Practice address
1213 Mason St
Dearborn, MI 48124-2841
Phone
(313) 278-2800
Fax
(313) 278-0030
NPI assigned
Jan 19, 2021
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 590140046 MI
Primary Podiatric Medicine Podiatrist 213EP1101X P101504 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 590140046 MI Primary

Addresses

Primary practice location

1213 Mason St
Dearborn, MI 48124-2841

Mailing address

1213 Mason St
Dearborn, MI 48124-2841
Phone (313) 278-2800

Other practice location 1

1623 Ford Ave
Wyandotte, MI 48192-2303
Phone (734) 389-7167

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825003128 MI Practitioner - Podiatry 7416330253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1623 Ford Ave
Wyandotte, MI 48192-2303
Phone (734) 389-7167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue43
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
590140046MIMDPrimary Podiatric Medicine Podiatrist
P101504NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1213 Mason St
Dearborn, MI 48124
Phone (313) 278-2800

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

33611 Warren Rd
Westland, MI 48185
Phone (734) 540-2003

1623 Ford Ave
Wyandotte, MI 48192
Phone (734) 282-7000

1623 Ford Ave
Ste C
Wyandotte, MI 48192

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1164012720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 MASON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242841",
            "telephone_number": "313-278-2800",
            "fax_number": "313-278-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MASON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242841",
            "telephone_number": "313-278-2800",
            "fax_number": "313-278-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Ford Ave",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481922303",
            "country_code": "US",
            "telephone_number": "734-389-7167",
            "fax_number": "734-431-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUBADDER",
        "first_name": "ZEINAB",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-08-24",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "590140046",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "P101504",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "590140046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.