NPIMap

Individual provider Active NPI

Shahzad Zaki, MD

  • Family Medicine Physician
  • Wallingford, CT
National Provider Identifier
1669706578
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051335 Issued in CT
Practice address
1257 S Broad St
Wallingford, CT 06492-1737
Phone
(203) 626-5393
Fax
(203) 626-5527
NPI assigned
Sep 24, 2009
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 051335 CT
Family Medicine Physician 207Q00000X 254500 NY
Family Medicine Physician 207Q00000X 051335 CT Primary

Addresses

Primary practice location

1257 S Broad St
Wallingford, CT 06492-1737

Mailing address

1257 S Broad St
Wallingford, CT 06492-1737
Phone (203) 626-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000400 CT Practitioner - Family Practice 3870636004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthmed Urgent Care LLCGroup PAC ID 7214171685, 3 clinicians
RPM Care Coordination PCGroup PAC ID 6002205606, 42 clinicians

Practice addresses (Care Compare)

35 Marc Dr
Wallingford, CT 06492-5708
Phone (203) 265-0981

83 Wooster HTS
Suite 125
Danbury, CT 06810-7550
Phone 80098555967548

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
23.22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254500NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Care Coordination, PC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Healthmed Urgent Care, LLC Family Medicine CurrentSince Jul 8, 2013 Accepting new patients

Locations

507 S Douglas St
Fl 3
El Segundo, CA 90245

83 Wooster Hts
Ste 125
Danbury, CT 06810
Phone (475) 289-7864

1257 S Broad St
Wallingford, CT 06492
Phone (203) 404-3355

1257 S Broad St
Unit 4
Wallingford, CT 06492
Phone (203) 626-5393

35 Marc Dr
Wallingford, CT 06492
Phone (203) 265-0981

Interoperability endpoints

  • Direct secure messaging: ms_szaki1@landmarkhealth-direct.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advanced Center for Nursing & RehabilitationNew Haven, CT, CCN 075348 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2023
Nov 19, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 12

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1669706578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-626-5393",
            "fax_number": "203-626-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-626-5393",
            "fax_number": "203-626-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKI",
        "first_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "051335",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "051335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.