Individual provider Active NPI

Michael Harry Zaroukian, M.D.

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1558307249
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047301 Issued in MI
Practice address
138 Service Rd Ste A225
East Lansing, MI 48824-1376
Phone
(517) 353-4941
Fax
(517) 432-3145
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301047301 MI Primary

Addresses

Primary practice location

138 Service Rd Ste A225
East Lansing, MI 48824-1376

Mailing address

B338 Clinical Center
Department of Medicine
East Lansing, MI 48824
Phone (517) 432-9124

Other identifiers 1

IdentifierTypeStateIssuer
1730530MedicaidMI

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
I20040501000173 MI Practitioner - Internal Medicine 5698763563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047301MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2018 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jan 1, 2018 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste 104
East Lansing, MI 48823
Phone (517) 364-8000

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125

Interoperability endpoints

  • Direct secure messaging: mzaroukian326@sparrowdirecthie.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1558307249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B338 CLINICAL CENTER",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-432-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SERVICE RD STE A225",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241376",
            "telephone_number": "517-353-4941",
            "fax_number": "517-432-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAROUKIAN",
        "first_name": "MICHAEL",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.