Individual provider Active NPI

Robert A Zoltowski, DO

  • Psychiatry Physician
  • Northville, MI
National Provider Identifier
1518081116
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101011438 Issued in MI
Practice address
650 Griswold St
Northville, MI 48167-1666
Phone
(248) 912-0080
Fax
(248) 912-0208
NPI assigned
Mar 19, 2007
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101011438 MI Primary

Addresses

Primary practice location

650 Griswold St
Northville, MI 48167-1666

Mailing address

1428 Cottonwood Ter
Dunedin, FL 34698-4112
Phone (734) 395-3487

Other practice location 1

29399 US Highway 19 N Ste 150
Clearwater, FL 33761-2126
Phone (727) 349-1036

Other identifiers 2

IdentifierTypeStateIssuer
2658235035OtherMIBCBSM
RZ011438OtherMIBCBSM PROVIDER ID

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
I20080812000570 MI Practitioner - Psychiatry 7517032444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Garcia MD PCGroup PAC ID 8628063757, 3 clinicians

Practice addresses (Care Compare)

650 Griswold St
Northville, MI 48167-1666
Phone (248) 912-0080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011438MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Finn PC PastSince Apr 1, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1518081116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 COTTONWOOD TER",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984112",
            "telephone_number": "734-395-3487",
            "fax_number": "734-280-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671666",
            "telephone_number": "248-912-0080",
            "fax_number": "248-912-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29399 US Highway 19 N Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612126",
            "country_code": "US",
            "telephone_number": "727-349-1036",
            "fax_number": "734-280-6097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLTOWSKI",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2658235035",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER ID",
            "identifier": "RZ011438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.