Nicholas James Zajdel, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

70104-20 Issued in WI

Practice address

13800 W North Ave Ste 100
Brookfield, WI 53005-4977

Phone

(262) 754-4488

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Dermatology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Dermatologists SCGroup PAC ID 8123065794, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.13 of 100Reported as group

Quality

90.63

Improvement activities

40

Cost

82.92

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Affiliated Dermatologists SC

  • Dermatology Physician
  • Brookfield, WI
  • NPI 1407849011

  Dermatology, WI

  Medicare reassignment Care Compare group NPD
• Affiliated Dermatologists SC

  • Dermatology Physician
  • Waukesha, WI
  • NPI 1700829959

  Dermatology

  NPD
• Affiliated Dermatologists, SC

  • MOHS-Micrographic Surgery Physician
  • Oak Creek, WI
  • NPI 1316656721

  Dermatology

  NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1629430210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977",
            "telephone_number": "262-754-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977",
            "telephone_number": "262-754-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJDEL",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "6355-851",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "70104-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A. Zacharias, APSW
• Kimberly Ann Zacher, MS, LPC, SAC
• Melissa Zahn
• Stacey K Zahn, OCCUPATIONAL THERAP
• Dawn M Zahrt, PHD
• Kelly A Zalog, P.A.
• Randall Joseph Zblewski, MD
• Deborah Zdarstek, CRNA
• Melissa Zebrasky
• James Herbert Zellmer, M.D.

• Dermatology Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.

Verify at the official NPI Registry.