Active NPI
Sajad Zalzala, M.D.
- Family Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301094339
- Practice address
- 835 Mason St Ste A250
Dearborn, MI 48124-2231 - Phone
- (313) 355-8657
- Fax
- (888) 655-7536
- NPI assigned
- Mar 24, 2009
- Last updated
- Feb 4, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C151483 | CA | |
| Family Medicine Physician | 207Q00000X | C1-0012997 | DE | |
| Family Medicine Physician | 207Q00000X | 66675 | WI | |
| Family Medicine Physician | 207Q00000X | MD046976 | DC | |
| Family Medicine Physician | 207Q00000X | 289619 | NY | |
| Family Medicine Physician | 207Q00000X | 35.129936 | OH | |
| Family Medicine Physician | 207Q00000X | 77333 | GA | |
| Family Medicine Physician | 207Q00000X | 4301094339 | MI | Primary |
Addresses
Primary practice location
835 Mason St Ste A250
Dearborn, MI 48124-2231
Mailing address
6437 Argyle St
Dearborn, MI 48126-2136
Phone (313) 653-1790
Other practice location 1
6735 Conroy Rd
Orlando, FL 32835-3565
Phone (877) 380-1351
Other practice location 2
11211 Katy Fwy Ste 252
Houston, TX 77079-2126
Phone (877) 380-1351
Other practice location 3
18001 Sky Park Cir Ste K
Irvine, CA 92614-0506
Phone (877) 380-1351
Other practice location 4
6071 Washington St
Gurnee, IL 60031-5348
Phone (877) 380-1351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, AZ, MA, VA, TX, IL, CO, WA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD046976 | DC | MD | Family Medicine Physician |
| C1-0012997 | DE | MD | Family Medicine Physician |
| 77333 | GA | MD | Family Medicine Physician |
| 4301094339 | MI | MD | Family Medicine Physician |
| 35.129936 | OH | MD | Family Medicine Physician |
| 66675 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeland Primary Care PLLC | Current | Accepting new patients | |
| Howard B Miller MD Inc PS | Family Medicine | Current | Accepting new patients |
| Evon Cadogan MD Inc | Past | Accepting new patients | |
| Oasis Interventional Spine Care, LLC | Past | Accepting new patients | |
| Truecare24 Physicians Group PC | Family Medicine | Past | Accepting new patients |
Locations
5577 Vanbarr Pl
Freeland, WA 98249
Phone (360) 320-9491
Organizations & group practices 6
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.
-
dba South Island Primary and Immediate Care
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- NPI 1992355879
TX
-
- Family Medicine Physician
- Renton, WA
- NPI 1356419212
-
- General Practice Physician
- San Jose, CA
- NPI 1174194278
-
- Physical Medicine & Rehabilitation Physician
- Blue Bell, PA
- NPI 1447634050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1639311509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6437 ARGYLE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262136",
"telephone_number": "313-653-1790",
"fax_number": "888-655-7536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 MASON ST STE A250",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242231",
"telephone_number": "313-355-8657",
"fax_number": "888-655-7536"
}
],
"practiceLocations": [
{
"address_1": "6735 Conroy Rd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328353565",
"country_code": "US",
"telephone_number": "877-380-1351",
"fax_number": "888-655-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11211 Katy Fwy Ste 252",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770792126",
"country_code": "US",
"telephone_number": "877-380-1351",
"fax_number": "888-655-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18001 Sky Park Cir Ste K",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926140506",
"country_code": "US",
"telephone_number": "877-380-1351",
"fax_number": "888-655-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6071 Washington St",
"address_purpose": "LOCATION",
"city": "Gurnee",
"state": "IL",
"postal_code": "600315348",
"country_code": "US",
"telephone_number": "877-380-1351",
"fax_number": "888-655-7536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZALZALA",
"first_name": "SAJAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C151483",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0012997",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "66675",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD046976",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "289619",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.129936",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "77333",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301094339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.