Active NPI
Michael Kert Zijlstra, DO
- Gastroenterology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 1689169591
- Practice address
- 1001 E Leigh St FL 11
Richmond, VA 23298-5004 - Phone
- (804) 828-2161
- Fax
- (804) 828-5348
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.072046 | IL | |
| Internal Medicine Physician | 207R00000X | 036155770 | IL | |
| Gastroenterology Physician | 207RG0100X | 1689169591 | MI | Primary |
Addresses
Primary practice location
1001 E Leigh St FL 11
Richmond, VA 23298-5004
Mailing address
PO Box 980257
Vcuhs Gme Administration
Richmond, VA 23298-0257
Phone (804) 828-9783
Other practice location 1
NorthShore University HealthSystem Office of Academic
Affairs 2650 Ridge Ave, Suite 1304
Evanston, IL 60201
Phone (847) 570-2000
Other practice location 2
2650 Ridge Ave. Suite 5323
Office of the Chief Resident
Evanston, IL 60201-6686
Phone (847) 570-2505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219000635 | VA | Practitioner - Gastroenterology | 6204185515 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Chicago College of Osteopathy, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCV Associated Physicians
Practice addresses (Care Compare)
1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000
Hospital & facility affiliations
- Medical College of Virginia Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.072046 | IL | MD | Internal Medicine Physician |
| 1689169591 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Single Specialty | Current | Accepting new patients |
Locations
1001 E Leigh St
Fl 11
Richmond, VA 23298
Phone (804) 560-8919
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1200 E Marshall St
Richmond, VA 23298
Phone (804) 827-0561
Interoperability endpoints
- mzijlstra1851621@direct.trinity-health.org
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1689169591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980257",
"address_2": "VCUHS GME ADMINISTRATION",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E LEIGH ST FL 11",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985004",
"telephone_number": "804-828-2161",
"fax_number": "804-828-5348"
}
],
"practiceLocations": [
{
"address_1": "NorthShore University HealthSystem Office of Academic",
"address_2": "Affairs 2650 Ridge Ave, Suite 1304",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "60201",
"country_code": "US",
"telephone_number": "847-570-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 Ridge Ave. Suite 5323",
"address_2": "Office of the Chief Resident",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602016686",
"country_code": "US",
"telephone_number": "847-570-2505",
"fax_number": "847-570-2905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIJLSTRA",
"first_name": "MICHAEL",
"middle_name": "KERT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.072046",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036155770",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "1689169591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.