Active NPI
Nahed A Zakaria, MD
- Pediatrics Physician
- Troy, MI
National Provider Identifier
1679555643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301045682
- Practice address
- 1080 Kirts Blvd
Ste 400
Troy, MI 48084-4881 - Phone
- (248) 362-2660
- Fax
- (248) 362-0662
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301045682 | MI | Primary |
Addresses
Primary practice location
1080 Kirts Blvd
Ste 400
Troy, MI 48084-4881
Mailing address
1080 Kirts Blvd
Ste 400
Troy, MI 48084-4881
Phone (248) 362-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3264942 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301045682 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Botsford General Hospital | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Farmington, MI
- NPI 1437191947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1679555643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 KIRTS BLVD",
"address_2": "STE 400",
"city": "TROY",
"state": "MI",
"postal_code": "480844881",
"telephone_number": "248-362-2660",
"fax_number": "248-362-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 KIRTS BLVD",
"address_2": "STE 400",
"city": "TROY",
"state": "MI",
"postal_code": "480844881",
"telephone_number": "248-362-2660",
"fax_number": "248-362-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKARIA",
"first_name": "NAHED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301045682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3264942",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.