Individual provider Active NPI

Zachary Charles Smith, MD

  • Diagnostic Radiology Physician
  • Ann Arbor, MI
National Provider Identifier
1750720629
Registry record updated May 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301103437 Issued in MI
Practice address
1500 East Medical Center Dr
2ND Floor Taubman Center Recp a
Ann Arbor, MI 48109-5326
Phone
(734) 936-4500
NPI assigned
Jun 24, 2013
Last updated
May 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301103437 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
2ND Floor Taubman Center Recp a
Ann Arbor, MI 48109-5326

Mailing address

4748 Reliable Parkway
Chicago, IL 60686-0001
Phone (316) 685-2371

Other practice location 1

1000 Monroe Ave NW
Grand Rapids, MI 49503-1455
Phone (616) 391-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180723000495 MI Practitioner - Diagnostic Radiology 7012146079 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians
Upper Peninsula Imaging PCGroup PAC ID 0941469456, 3 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 485-2744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103437MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 14, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 14, 2025 Accepting new patients
Baraga County Memorial Hospital Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Baraga County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Upper Peninsula Imaging PC Diagnostic Radiology CurrentSince Feb 21, 2022 Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients

Locations

4748 Reliable Pkwy
Chicago, IL 60686

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2833 US Highway 41 W
Marquette, MI 49855

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

2289 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-2300

Organizations & group practices 9

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 5

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557619200000",
    "number": "1750720629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "316-685-2371",
            "fax_number": "316-652-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "2ND FLOOR TAUBMAN CENTER RECP A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095326",
            "telephone_number": "734-936-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Monroe Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031455",
            "country_code": "US",
            "telephone_number": "616-391-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301103437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.