Active NPI
Salzac Medical Group PC
- Family Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SALZAC MEDICAL GROUP PC
- Practice address
- 21701 W 11 Mile Rd Ste 5
Southfield, MI 48076-3713 - Phone
- (248) 569-7550
- Fax
- (248) 569-7552
- NPI assigned
- Mar 19, 2026
- Last updated
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zakari Tata, MD
- Title
- Director
- Phone
- (248) 787-8197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
21701 W 11 Mile Rd Ste 5
Southfield, MI 48076-3713
Mailing address
21701 W 11 Mile Rd Ste 5
Southfield, MI 48076-3713
Phone (248) 569-7550
Other practice location 1
20129 Connor St
Detroit, MI 48234
Phone (248) 569-7550
Other practice location 2
20000 Dequindre St
Detroit, MI 48234-4512
Phone (248) 569-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Southfield, MI
- NPI 1871591313
-
- Nurse Practitioner
- Lansing, MI
- NPI 1083386353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1679421283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21701 W 11 MILE RD STE 5",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763713",
"telephone_number": "248-569-7550",
"fax_number": "248-569-7552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21701 W 11 MILE RD STE 5",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763713",
"telephone_number": "248-569-7550",
"fax_number": "248-569-7552"
}
],
"practiceLocations": [
{
"address_1": "20129 Connor St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48234",
"country_code": "US",
"telephone_number": "248-569-7550",
"fax_number": "248-569-7552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20000 Dequindre St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482344512",
"country_code": "US",
"telephone_number": "248-569-7550",
"fax_number": "248-569-7552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SALZAC MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "TATA",
"authorized_official_first_name": "ZAKARI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-787-8197",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.