Individual provider Active NPI

Alan Zakaria, DO

  • Pediatrics Physician
  • Troy, MI
National Provider Identifier
1588879324
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101016596 Issued in MI
Practice address
1080 Kirts Blvd Ste 400
Troy, MI 48084-4853
Phone
(248) 362-2660
NPI assigned
May 14, 2007
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101016596 MI Primary

Addresses

Primary practice location

1080 Kirts Blvd Ste 400
Troy, MI 48084-4853

Mailing address

1080 Kirts Blvd Ste 400
Troy, MI 48084-4853
Phone (248) 362-2660

Other practice location 1

207 Fletcher St
Ann Arbor, MI 48109-1050
Phone (734) 764-8320

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
I20100827000421 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648394650

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1080 Kirts Blvd
Suite 400
Troy, MI 48084-4853

Hospital & facility affiliations

National Provider Directory

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

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1588879324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 KIRTS BLVD STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844853",
            "telephone_number": "248-362-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 KIRTS BLVD STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844853",
            "telephone_number": "248-362-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Fletcher St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481091050",
            "country_code": "US",
            "telephone_number": "734-764-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKARIA",
        "first_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101016596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.