NPIMap

Individual provider Active NPI

Shaza Zayzafoon-Mosier, MD

  • Hospitalist Physician
  • Kalamazoo, MI
National Provider Identifier
1255304358
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
4301068156 Issued in MI
Practice address
601 John St
Box 74 Bronson Internal Medicine Specialist
Kalamazoo, MI 49007-5341
Phone
(269) 341-8481
Fax
(269) 341-7781
NPI assigned
Feb 9, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301068156 MI Primary

Addresses

Primary practice location

601 John St
Box 74 Bronson Internal Medicine Specialist
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-8481

Other identifiers 4

IdentifierTypeStateIssuer
4785990MedicaidMI
1255304358MedicaidMI
1235131137 - BLHOtherMIBCBSM - BLH
CA2184OtherMIRAILROAD MEDICARE

Other names 1

  • Shaza Zayzafoon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000053 MI Practitioner - Internal Medicine 5496730723 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

701 S Health Pkwy
Three Rivers, MI 49093-8354

701 S Health Pkwy
Three Rivers HLTH
Three Rivers, MI 49093-8352
Phone (574) 647-1817

711 S Health Pkwy
Suite 1
Three Rivers, MI 49093-8354
Phone (269) 273-8557

715 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 273-8471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068156MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Jul 23, 2011 Accepting new patients
Beacon Allegan Inc Current Accepting new patients
Bronson South Haven Hospital CurrentSince May 1, 2011 Accepting new patients
Bronson Lakeview Hospital CurrentSince Apr 1, 2013 Accepting new patients
Beacon Allegan Inc Current Accepting new patients
Bronson South Haven Hospital CurrentSince May 1, 2011 Accepting new patients
Three Rivers Health System, Inc CurrentSince Nov 6, 2023 Accepting new patients
Ella E M Brown Charitable Circle Hospitalist Current Accepting new patients
Bronson Methodist Hospital Hospitalist CurrentSince Sep 1, 2005 Accepting new patients
Pathology Services of Southwestern Michigan, PC Current Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Three Rivers Health System, Inc CurrentSince Nov 6, 2023 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Bronson Lakeview Hospital CurrentSince Apr 1, 2013 Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Nov 15, 2010 Accepting new patients
Beacon Allegan Inc Current Accepting new patients
Beacon Allegan Inc Hospitalist CurrentSince Nov 15, 2010 Accepting new patients
Dowagiac Medical Center Past Accepting new patients
Three Rivers Health System, Inc Past Accepting new patients

Locations

3245 Health Dr
Granger, IN 46530

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

601 John St
#74
Kalamazoo, MI 49007
Phone (269) 341-8481

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

6563 W Main St
Kalamazoo, MI 49009
Phone (269) 233-9191

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255304358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8481",
            "fax_number": "269-341-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 74 BRONSON INTERNAL MEDICINE SPECIALIST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8481",
            "fax_number": "269-341-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYZAFOON-MOSIER",
        "first_name": "SHAZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301068156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4785990",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255304358",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BLH",
            "identifier": "1235131137 - BLH",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2184",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAZA",
            "last_name": "ZAYZAFOON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.