NPIMap

Individual provider Active NPI

Claudia Zacharek, MD

  • Nephrology Physician
  • Saginaw, MI
National Provider Identifier
1275692642
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301092586 Issued in MI
Practice address
4677 Towne Centre Rd Ste 303
Medical Arts 3
Saginaw, MI 48604-2848
Phone
(989) 401-5354
Fax
(989) 790-7941
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L7540 TX
Nephrology Physician 207RN0300X 4301092586 MI Primary

Addresses

Primary practice location

4677 Towne Centre Rd Ste 303
Medical Arts 3
Saginaw, MI 48604-2848

Mailing address

4677 Towne Centre Rd Ste 303
Medical Arts 3
Saginaw, MI 48604-2848
Phone (989) 401-5354

Other identifiers 1

IdentifierTypeStateIssuer
1275692642MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address czacharek1969@direct.covenanthealthcare.com

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
I20080829000024 MI Practitioner - NephrologyPractitioner - Internal Medicine 0446293914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claudia Zacharek MD PLCGroup PAC ID 7416144670, 2 clinicians

Practice addresses (Care Compare)

4677 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2848
Phone (989) 401-5354

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092586MIMDNephrology Physician
L7540TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Claudia Zacharek MD PLC Nephrology CurrentSince Oct 28, 2010 Accepting new patients
Patriot Dialysis, LLC Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations

1536 W Center Rd
Essexville, MI 48732
Phone (989) 894-2810

920 N Niagara St
Saginaw, MI 48602
Phone (989) 921-2170

4677 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 401-5354

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1275692642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD STE 303",
            "address_2": "MEDICAL ARTS 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042848",
            "telephone_number": "989-401-5354",
            "fax_number": "989-790-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD STE 303",
            "address_2": "MEDICAL ARTS 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042848",
            "telephone_number": "989-401-5354",
            "fax_number": "989-790-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAREK",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L7540",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301092586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275692642",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "czacharek1969@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "4677 Towne Centre Rd Ste 303",
            "address_2": "Medical Arts 3",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.