Active NPI
Jerry E Zayid, DPM
- Foot Surgery Podiatrist
- Commerce TWP, MI
National Provider Identifier
1871545020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 5901001059
- Practice address
- 2559 Union Lake Rd
Commerce TWP, MI 48382-3555 - Phone
- (248) 245-3392
- Fax
- (248) 363-8652
- NPI assigned
- May 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 5901001059 | MI | Primary |
Addresses
Primary practice location
2559 Union Lake Rd
Commerce TWP, MI 48382-3555
Mailing address
2559 Union Lake Rd
Commerce TWP, MI 48382-3555
Phone (248) 245-3392
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O-EO-2656-O | Other | MI | BLUE CROSS SUPPLIER PIN |
| 0D41146 | Other | MI | BLUE CROSS |
| OEO3185 | Other | MI | BLUE CROSS |
| 103578 | Medicaid | MI | |
| OEO2782 | Other | MI | BLUE CROSS |
| 5501440 | Other | MI | BLUE CROSS |
| OH71150 | Other | MI | BLUE CROSS |
| 2121060 | Medicaid | MI | |
| 2594961 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001059 | MI | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Home Care Agency Inc | Current | 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.
-
- Home Health Agency
- Commerce Township, MI
- NPI 1316998974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1871545020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 UNION LAKE RD",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483823555",
"telephone_number": "248-245-3392",
"fax_number": "248-363-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2559 UNION LAKE RD",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483823555",
"telephone_number": "248-245-3392",
"fax_number": "248-363-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAYID",
"first_name": "JERRY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MI",
"license": "5901001059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SUPPLIER PIN",
"identifier": "O-EO-2656-O",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0D41146",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OEO3185",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103578",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OEO2782",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5501440",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OH71150",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2121060",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2594961",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.