Organization Active NPI

Zaid Yaldo MD PLLC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1366809634
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301096454 Issued in MI
Legal business name
ZAID YALDO MD PLLC
Practice address
3670 Old Creek Rd
Troy, MI 48084-1627
Phone
(248) 397-8919
Fax
(248) 397-8959
NPI assigned
Jan 18, 2016
Last updated
Jan 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Mr. Zaid Yaldo, MDNPI 1447514237
Title
Owner
Phone
(248) 764-5140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301096454 MI Primary

Addresses

Primary practice location

3670 Old Creek Rd
Troy, MI 48084-1627

Mailing address

3670 Old Creek Rd
Troy, MI 48084-1627
Phone (248) 397-8919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000276 MI Part B Supplier - Clinic/Group Practice 6002111457 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI; Troy, MI; Southfield, MI; Novi, MI; Royal Oak, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1366809634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 OLD CREEK RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841627",
            "telephone_number": "248-397-8919",
            "fax_number": "248-397-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 OLD CREEK RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841627",
            "telephone_number": "248-397-8919",
            "fax_number": "248-397-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAID YALDO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "ZAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-764-5140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301096454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.