Individual provider Active NPI

Daryl J Zelenak, DO

  • Ophthalmology Physician
  • West Branch, MI
National Provider Identifier
1962419267
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101013471 Issued in MI
Practice address
559 Progress St Ste E
West Branch, MI 48661-9399
Phone
(989) 345-8113
Fax
(989) 345-3687
NPI assigned
Aug 1, 2006
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101013471 MI Primary

Addresses

Primary practice location

559 Progress St Ste E
West Branch, MI 48661-9399

Mailing address

559 Progress St Ste E
West Branch, MI 48661-9399
Phone (989) 345-8113

Other identifiers 2

IdentifierTypeStateIssuer
4453120MedicaidMI
147470OtherMIEYEMED

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
I20101120000155 MI Practitioner - Ophthalmology 2062416845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogemaw Eye Institute PCGroup PAC ID 2961837984, 4 clinicians

Practice addresses (Care Compare)

559 Progress St
West Branch, MI 48661-9399
Phone (989) 345-8113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ogemaw Eye Institute PC Ophthalmology CurrentSince Nov 9, 2019 Accepting new patients
Bay Eye Care Center, PC Ophthalmology CurrentSince Dec 16, 2002 Accepting new patients
Bay Eye Care Center, PC CurrentSince Dec 16, 2002 Accepting new patients

Locations

116 N Tuscola Rd
Bay City, MI 48708
Phone (989) 892-9595

559 Progress St
West Branch, MI 48661
Phone (989) 345-8113

559 Progress St
Ste 4
West Branch, MI 48661

559 Progress St
Ste D
West Branch, MI 48661

559 Progress St
Ste E
West Branch, MI 48661
Phone (586) 243-7200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1962419267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 PROGRESS ST STE E",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619399",
            "telephone_number": "989-345-8113",
            "fax_number": "989-345-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 PROGRESS ST STE E",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619399",
            "telephone_number": "989-345-8113",
            "fax_number": "989-345-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "DARYL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101013471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4453120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "147470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.