Active NPI
Jason Zatkoff, DO
- Anesthesiology Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5101025124
- Practice address
- 11012 E 13 Mile Rd Ste 112a
Warren, MI 48093-2546 - Phone
- (586) 751-9800
- NPI assigned
- Mar 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 5101025124 | MI | |
| Anesthesiology Physician | 207L00000X | 5101025124 | MI | Primary |
Addresses
Primary practice location
11012 E 13 Mile Rd Ste 112a
Warren, MI 48093-2546
Mailing address
1507 Cole St
Birmingham, MI 48009-7063
Phone (248) 252-8768
Other practice location 1
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198
Other practice location 2
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 585-3023
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
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 265-4600
46325 W Twelve Mile Rd
Novi, MI 48377-2456
Phone (248) 618-2121
Hospital & facility affiliations
- St Joe Mercy Hospital System Livonia
- Surgeons Choice Medical Center
- McLaren Macomb
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Lake Anesthesiology Consultants, PLC | Anesthesiology | Current | Accepting new patients |
| Motor City Anesthesia Services PLLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Pain Medicine | Current | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- jzatkoff21335@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
-
- Anesthesiology Physician
- Dearborn, MI
- NPI 1457058125
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital
-
- Ambulatory Surgical Clinic/Center
- Warren, MI
- NPI 1619969540
Hospital
-
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1730337601
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1164840930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 COLE ST",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480097063",
"telephone_number": "248-252-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11012 E 13 MILE RD STE 112A",
"city": "WARREN",
"state": "MI",
"postal_code": "480932546",
"telephone_number": "586-751-9800"
}
],
"practiceLocations": [
{
"address_1": "22401 Foster Winter Dr",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480753724",
"country_code": "US",
"telephone_number": "248-423-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44405 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483415023",
"country_code": "US",
"telephone_number": "248-585-3023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZATKOFF",
"first_name": "JASON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-30",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "5101025124",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101025124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.