NPIMap

Organization Active NPI

Steven S. Zeldes MD PC

  • Ophthalmology Physician
  • West Bloomfield, MI
National Provider Identifier
1861523334
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301067910 Issued in MI
Legal business name
STEVEN S. ZELDES MD PC
Practice address
6010 W Maple Rd
#200
West Bloomfield, MI 48322-4406
Phone
(248) 737-6955
Fax
(248) 737-8759
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Steven S Zeldes, MDNPI 1093708844
Title
Presedent
Phone
(248) 737-6955

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 4301067910 MI Primary
Eyewear Supplier 332H00000X 4301067910 MI

Addresses

Primary practice location

6010 W Maple Rd
#200
West Bloomfield, MI 48322-4406

Mailing address

6010 W Maple Rd
#200
West Bloomfield, MI 48322-4406
Phone (248) 737-6955

Other identifiers 2

IdentifierTypeStateIssuer
4512670MedicaidMI
180F339760OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000874 MI Part B Supplier - Clinic/Group Practice 3173615614 Receives reassigned benefits from 3 practitioners
Practice locations: Milford, MI; Royal Oak, MI; West Bloomfield, MI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2495/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1861523334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD",
            "address_2": "#200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-737-6955",
            "fax_number": "248-737-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD",
            "address_2": "#200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-737-6955",
            "fax_number": "248-737-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. ZELDES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "ZELDES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "248-737-6955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301067910",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4301067910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4512670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180F339760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.

Verify at the official NPI Registry.