Active NPI
Jonathan Thomas Zaidan, M.D.
- Obstetrics & Gynecology Physician
- Lake Orion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301069018
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568653780 | Other | MI | GROUP NPI |
| 1619905387 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 93.06
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Facilicare Clinical Michigan PLLC | Current | Accepting new patients | |
| Women's Healthcare Associates of Oakland PLLC | Current | Accepting new patients | |
| Endometriosis Treatment Center of America - Michigan PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| McLaren Oakland | Past | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients | |
| Michigan Institute for Interventional Pain PLLC | Past | 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
- https://api.platform.athenahealth.com/23489/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/ed6140a2-373e-4f70-84aa-c25e94497b9f/
- jonathan.zaidan.1@23489.direct.athenahealth.com
- jzaidan1158571@direct.hfhs.org
- jzaidan36996@direct.trinity-health.org
- 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.
-
- Medical Specialty Clinic/Center
- Lake Orion, MI
- NPI 1568653780
-
dba Endometriosis Treatment Center of America
- Gynecologic Oncology Physician
- Lake Orion, MI
- NPI 1720669880
Obstetrics & Gynecology
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Clinic/Center
- Birmingham, MI
- NPI 1508614447
-
- Neurology Physician
- Rochester, MI
- NPI 1366565442
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- Pain Medicine (Anesthesiology) Physician
- Lake Orion, MI
- NPI 1649740747
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.