Individual provider Active NPI

Jonathan Kyulu Nzoma, DO

  • Orthopaedic Surgery Physician
  • Southfield, MI
National Provider Identifier
1417257551
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101020363 Issued in MI
Practice address
27207 Lahser Rd Ste 250B
Southfield, MI 48034-8471
Phone
(313) 327-2194
Fax
(313) 241-3127
NPI assigned
Oct 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101020363 MI Primary

Addresses

Primary practice location

27207 Lahser Rd Ste 250B
Southfield, MI 48034-8471

Mailing address

PO Box 145
Novi, MI 48376-0145
Phone (313) 327-2194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140908000259 MI Practitioner - Orthopedic Surgery 3173741048 Reassigns benefits to 4 organizations
I20231107001017 WI Practitioner - Orthopedic Surgery 3173741048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27207 Lahser Rd
Suite 250
Southfield, MI 48034-2168
Phone (313) 327-2194

Hospital & facility affiliations

  • Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Oct 26, 2023 Accepting new patients
Dean Health Systems, Inc CurrentSince Oct 26, 2023 Accepting new patients
Macomb Pain Management CurrentSince Dec 27, 2024 Accepting new patients
Specialty Medical Center Inc CurrentSince Nov 3, 2025 Accepting new patients
Detroit Orthopedics & Sports Medicine PLC Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
VHS Physicians of Michigan CurrentSince Aug 31, 2014 Accepting new patients

Locations

13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

11166 Highland Rd
Hartland, MI 48353
Phone (248) 455-0865

8152 25 Mile Rd
Ste B
Shelby Township, MI 48316
Phone (248) 844-8281

27207 Lahser Rd
Ste 250
Southfield, MI 48034
Phone (248) 809-2853

27207 Lahser Rd
Ste 250B
Southfield, MI 48034
Phone (313) 327-2194

5466 15 Mile Rd
Ste 101
Sterling Heights, MI 48310
Phone (248) 844-8281

44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094

5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300

28800 Ryan Rd
Ste 120
Warren, MI 48092
Phone (586) 558-1221

3200 E Racine St
Janesville, WI 53546
Phone (608) 371-8000

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: jnzoma@direct.dmc.org
  • Direct secure messaging: jonathan.nzoma.1@31208.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jnzoma1143204@direct.hfhs.org
  • Direct secure messaging: jonathan.nzoma.1@11987.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1417257551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760145",
            "telephone_number": "313-327-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD STE 250B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348471",
            "telephone_number": "313-327-2194",
            "fax_number": "313-241-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZOMA",
        "first_name": "JONATHAN",
        "middle_name": "KYULU",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101020363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.