Individual provider Active NPI

Julie Michelle Zaituna, DO

  • Developmental - Behavioral Pediatrics Physician
  • Ann Arbor, MI
National Provider Identifier
1972094373
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
5101026191 Issued in MI
Practice address
1522 Simpson Road East
Medical Professional Building Room D3202, Box: 5718
Ann Arbor, MI 48109
Phone
(734) 647-8100
Fax
(734) 936-6897
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 5101026191 MI Primary

Addresses

Primary practice location

1522 Simpson Road East
Medical Professional Building Room D3202, Box: 5718
Ann Arbor, MI 48109

Mailing address

1522 Simpson Road East
Medical Professional Building Room D3202, Box: 5718
Ann Arbor, MI 48109
Phone (734) 647-8100

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
I20241009002889 MI Practitioner - Pediatric Medicine 1658773767 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 30, 2024 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

Interoperability endpoints

  • Direct secure messaging: jzaituna2832493@epic00.corewelldirect.org
  • Direct secure messaging: jzaituna503432@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1972094373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 SIMPSON ROAD EAST",
            "address_2": "MEDICAL PROFESSIONAL BUILDING ROOM D3202, BOX: 5718",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48109",
            "telephone_number": "734-647-8100",
            "fax_number": "734-936-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 SIMPSON ROAD EAST",
            "address_2": "MEDICAL PROFESSIONAL BUILDING ROOM D3202, BOX: 5718",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48109",
            "telephone_number": "734-647-8100",
            "fax_number": "734-936-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAITUNA",
        "first_name": "JULIE",
        "middle_name": "MICHELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MI",
            "license": "5101026191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.