Individual provider Active NPI

Katie Perz Zacharzewski, D.O.

  • Anesthesiology Physician
  • Bingham Farms, MI
National Provider Identifier
1275805483
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5101020886 Issued in MI
Practice address
30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502
Phone
(248) 258-5058
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101020886 MI Primary
Anesthesiology Physician 207L00000X 5315064208 MI

Addresses

Primary practice location

30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502

Mailing address

30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502
Phone (248) 258-5058

Other names 1

  • Dr. Katie Lauren Perz Former name

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
I20140806002753 MI Practitioner - Anesthesiology 9032336557 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Radius Anesthesia of Michigan PLLCGroup PAC ID 0547545709, 6 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (214) 687-0001

31235 Harper Ave
Saint Clair Shores, MI 48082-1425
Phone (267) 817-8902

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

721 N Shiawassee St
Owosso, MI 48867-1632

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315064208MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Anesthesia Services PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Jun 1, 2015 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Oct 27, 2020 Accepting new patients
Northstar Anesthesia of Michigan II PC Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Radius Anesthesia of Michigan PLLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

31235 Harper Ave
St Clr Shores, MI 48082
Phone (267) 817-8902

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Interoperability endpoints

  • Direct secure messaging: kzacharz@direct.dmc.org

Organizations & group practices 7

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 1

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1275805483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 220",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-258-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 220",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-258-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARZEWSKI",
        "first_name": "KATIE",
        "middle_name": "PERZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101020886",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5315064208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "PERZ",
            "middle_name": "LAUREN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.