Individual provider Active NPI

Karol Zakalik, MD

  • Neurological Surgery Physician
  • Royal Oak, MI
National Provider Identifier
1609867985
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301050230 Issued in MI
Practice address
3535 W 13 Mile Rd
Ste 504
Royal Oak, MI 48073
Phone
(248) 551-3020
Fax
(248) 551-3019
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301050230 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd
Ste 504
Royal Oak, MI 48073

Mailing address

3535 W 13 Mile Rd
Ste 504
Royal Oak, MI 48073
Phone (248) 551-3020

Other identifiers 5

IdentifierTypeStateIssuer
0P52120OtherMIPTAN GROUP
2769781-10MedicaidMI
PTAN P00455528OtherMIMEDICARE RAILROAD
140F344180OtherMIBCBSM
GROUP DG8023OtherMIMEDICARE RAILROAD DG8023

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
I20080125000593 MI Practitioner - Neurosurgery 2961584222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 551-3020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301050230MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Michigan Neurosurgery PLLC Neurological Surgery CurrentSince Jan 1, 2008 Accepting new patients
James Heinsimer MD PC PastSince Aug 11, 2000 Accepting new patients

Locations

3535 W 13 Mile Rd
Ste 504
Royal Oak, MI 48073
Phone (248) 551-0066

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: karol.zakalik.1@13361.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13361/brand/1/csg/1/fhir/r4

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.

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1609867985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "STE 504",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-551-3020",
            "fax_number": "248-551-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "STE 504",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-551-3020",
            "fax_number": "248-551-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKALIK",
        "first_name": "KAROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301050230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN GROUP",
            "identifier": "0P52120",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769781-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PTAN P00455528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "140F344180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD DG8023",
            "identifier": "GROUP DG8023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.