Individual provider Active NPI

Charles T Zenzen, MD

  • Ophthalmology Physician
  • Grand Blanc, MI
National Provider Identifier
1265448930
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301074506 Issued in MI
Practice address
2240 E Hill Rd
Grand Blanc, MI 48439-5420
Phone
(810) 579-0202
Fax
(810) 579-0204
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301074506 MI Primary

Addresses

Primary practice location

2240 E Hill Rd
Grand Blanc, MI 48439-5420

Mailing address

30150 Telegraph Rd Ste 271
Bingham Farms, MI 48025-4521
Phone (248) 395-5166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address czenzen@osm.intellechartdirect.net

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
I20040405000320 MI Practitioner - Ophthalmology 2769475078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2240 E Hill Rd
Suite D
Grand Blanc, MI 48439-5420
Phone (810) 579-0202

Merit-based Incentive Payment System (MIPS)

Final score
93.62 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Scripps Health Current Accepting new patients

Locations

30150 Telegraph Rd
Ste 271
Bingham Farms, MI 48025

2240 E Hill Rd
Ste D
Grand Blanc, MI 48439
Phone (810) 579-0202

2240 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 579-0202

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

Interoperability endpoints

  • Direct secure messaging: czenzen1158697@direct.hfhs.org
  • Direct secure messaging: czenzen@osm.intellechartdirect.net
  • Direct secure messaging: czenzen329428@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1265448930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "248-395-5166",
            "fax_number": "734-743-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395420",
            "telephone_number": "810-579-0202",
            "fax_number": "810-579-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENZEN",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301074506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "czenzen@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2240 E Hill Rd",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484395420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.