Individual provider Active NPI

Jonathan Robert Zelenak, D.O.

  • Ophthalmology Physician
  • Livonia, MI
National Provider Identifier
1972035483
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101020730 Issued in MI
Practice address
36300 Schoolcraft Rd
Livonia, MI 48150-1219
Phone
(734) 464-7800
Fax
(734) 464-3612
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 5101020730 MI Primary

Addresses

Primary practice location

36300 Schoolcraft Rd
Livonia, MI 48150-1219

Mailing address

36300 Schoolcraft Rd
Livonia, MI 48150-1219
Phone (248) 352-2806

Other practice location 1

4337 Maple St
Dearborn, MI 48126-3535
Phone (313) 582-7440

Other practice location 2

29877 Telegraph Rd Ste 100
Southfield, MI 48034-7658
Phone (248) 352-2806

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
I20170721001048 MI Practitioner - Ophthalmology 2668742701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2013
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)

28004 Ctr Oaks CT
Suite 200
Wixom, MI 48393-3360
Phone (248) 232-1777

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

Hospital & facility affiliations

  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
97.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.23

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as group
Quality
99.56
Improvement activities
40
Cost
80.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery193
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020730MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zelenak Eye Institute PLLC Ophthalmology CurrentSince Mar 1, 2024 Accepting new patients

Locations

28004 Center Oaks Ct
Ste 200
Wixom, MI 48393
Phone (248) 232-1777

Interoperability endpoints

  • Direct secure messaging: jzelenak665586@direct.trinity-health.org
  • Direct secure messaging: jzelenak@ogemaweyeinstitute.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1972035483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36300 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501219",
            "telephone_number": "248-352-2806",
            "fax_number": "734-464-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36300 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501219",
            "telephone_number": "734-464-7800",
            "fax_number": "734-464-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4337 Maple St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263535",
            "country_code": "US",
            "telephone_number": "313-582-7440",
            "fax_number": "313-582-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29877 Telegraph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480347658",
            "country_code": "US",
            "telephone_number": "248-352-2806",
            "fax_number": "248-352-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101020730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.