Individual provider Active NPI

Jonathan Thomas Zaidan, M.D.

  • Obstetrics & Gynecology Physician
  • Lake Orion, MI
National Provider Identifier
1619905387
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301069018 Issued in MI
Practice address
1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone
(248) 693-0543
Fax
(248) 630-4301
NPI assigned
Jun 29, 2006
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301069018 MI Primary

Addresses

Primary practice location

1428 S Lapeer Rd
Lake Orion, MI 48360-1437

Mailing address

PO Box 2137
Birmingham, MI 48012-2137
Phone (248) 872-7786

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 712-4120

Other identifiers 2

IdentifierTypeStateIssuer
1568653780OtherMIGROUP NPI
1619905387MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzaidan86942@direct.beaumont.edu

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
I20070910000502 MI Practitioner - Obstetrics/Gynecology 9739103359 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Women's Healthcare Associates of Oakland PLLCGroup PAC ID 1254355878, 8 clinicians

Practice addresses (Care Compare)

1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 693-0543

1430 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 693-1630

511 Pierce St
Birmingham, MI 48009-1790
Phone (947) 622-9126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jul 1, 2018 Accepting new patients
Facilicare Clinical Michigan PLLC CurrentSince Dec 13, 2025 Accepting new patients
Women's Healthcare Associates of Oakland PLLC CurrentSince Jun 1, 2000 Accepting new patients
Endometriosis Treatment Center of America - Michigan PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
McLaren Oakland Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Michigan Institute for Interventional Pain PLLC PastSince Jan 1, 2019 Accepting new patients

Locations

122 E Brown St
Birmingham, MI 48009
Phone (248) 609-1440

511 Pierce St
Birmingham, MI 48009
Phone (248) 645-0840

5701 Bow Pointe Dr
Ste 350
Clarkston, MI 48346
Phone (248) 384-8020

1234 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 319-6630

1240 S Lapeer Rd
Ste 100
Lake Orion, MI 48360
Phone (248) 693-0543

1428 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-0543

1430 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-1534

32686 Woodward Ave
Ste 103
Royal Oak, MI 48073
Phone (248) 221-8821

3601 W 13 Mile Rd
Royal Oak, MI 48073

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23489/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ed6140a2-373e-4f70-84aa-c25e94497b9f/
  • Direct secure messaging: jonathan.zaidan.1@23489.direct.athenahealth.com
  • Direct secure messaging: jzaidan1158571@direct.hfhs.org
  • Direct secure messaging: jzaidan36996@direct.trinity-health.org
  • Direct secure messaging: jzaidan86942@direct.beaumont.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1619905387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2137",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480122137",
            "telephone_number": "248-872-7786",
            "fax_number": "248-630-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-693-0543",
            "fax_number": "248-630-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-712-4120",
            "fax_number": "248-792-5243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDAN",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301069018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1568653780",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619905387",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzaidan86942@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.