Individual provider Active NPI

Nikhath Zeeshan, MD

  • Infectious Disease Physician
  • Jackson, MI
National Provider Identifier
1639458813
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301106938 Issued in MI
Practice address
205 N East Ave
Jackson, MI 49201-1753
Phone
(517) 205-4800
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MT 199449 PA
Infectious Disease Physician 207RI0200X 4301106938 MI Primary

Addresses

Primary practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

205 N East Ave
Jackson, MI 49201
Phone (517) 205-4800

Other practice location 1

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA, AL, TX, AR, LA, SC, TN, IN, WV10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20211214002899 MI Practitioner - Infectious Disease 1658595269 Reassigns benefits to 2 organizations
I20230623002748 GA Practitioner - Infectious Disease 1658595269 Reassigns benefits to 1 organization
I20230728001186 AL Practitioner - Infectious Disease 1658595269 Reassigns benefits to 1 organization
I20230802003703 TX Practitioner - Infectious Disease 1658595269 Reassigns benefits to 1 organization
I20230803004098 AR Practitioner - Infectious Disease 1658595269 Reassigns benefits to 1 organization
I20230803004233 LA Practitioner - Infectious Disease 1658595269 Reassigns benefits to 1 organization
I20230803004247 SC Practitioner - Infectious Disease 1658595269 Reassigns benefits to 1 organization
I20250306001748 TN Practitioner - Internal Medicine 1658595269 Reassigns benefits to 1 organization
I20250307001675 IN Practitioner - Internal Medicine 1658595269 Reassigns benefits to 1 organization
I20250327001469 WV Practitioner - Internal Medicine 1658595269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Indian Land, SC 29707
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (972) 449-0540

41755 Echo Forest Dr
Canton, MI 48188-4819
Phone (972) 449-0540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88943SCMDRegistered Nurse
MT 199449PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 13, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc. Infectious Disease CurrentSince Dec 13, 2021 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Access Telecare California, P.C. Infectious Disease PastSince Sep 18, 2023 Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1639458813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-205-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-9408",
            "fax_number": "814-534-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEESHAN",
        "first_name": "NIKHATH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MT 199449",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301106938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.