Active NPI
Zeinab Moubadder, DPM
- Foot & Ankle Surgery Podiatrist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 590140046
- 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, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 17 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 43 |
| Removal or shaving of skin growth | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590140046 | MI | MD | Primary Podiatric Medicine Podiatrist |
| P101504 | NY | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | 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.
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- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.