ANTESAR ZINDANI (PA-C) – Physician Assistant, NPI 1134718711

ANTESAR ZINDANI (PA-C) is a healthcare provider. based in Dearborn, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601010180 (MI). The NPI Number for ANTESAR ZINDANI (PA-C) is 1134718711

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ANTESAR ZINDANI (PA-C)
NPI
1134718711
Phone
(313) 914-5591
Address
5250 AUTO CLUB DR STE 200
Enumeration Date
18 January 2021
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
9739613829
Group Practice PAC ID
4981516564
Professional Enrollment ID
I20241112002934
Address ID
MI481264212DE5250XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for ANTESAR ZINDANI (PA-C)

  • 5250 AUTO CLUB DR STE 200

    DEARBORN, MI 481262619

    Phone: (313) 914-5591

    Fax: (313) 982-9847

    Type: Location

  • 5732 FORDHAM CIR APT 206

    CANTON, MI 481873350

    Phone: (248) 470-7304

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $3,316.

Total Amount is formed as General ($3,316) + Research ($0) + Ownership ($0) = $3,316.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($1,256).

Total Amount

$3,316

General + Research + Ownership

Payments

79

Total payment records

General Amount

$3,316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241112002934IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981516564View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
Urology, Internal Medicine, NephrologyMI
Registered Dietitian Or Nutrition ProfessionalMI
Internal Medicine, EndocrinologyMI
O P H T H A L M O L O G YMI
P O D I A T R YMI
Physician AssistantMI
Nurse PractitionerMI
Endocrinology, Internal MedicineMI
P O D I A T R YMI

Reviews

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Frequently asked questions

What number should I use to identify ANTESAR ZINDANI (PA-C) for billing?
Administrative and clinical systems typically use NPI 1134718711 for ANTESAR ZINDANI (PA-C).
Quick check: is ANTESAR ZINDANI (PA-C) active?
Public NPPES data shows ANTESAR ZINDANI (PA-C) with an active NPI status right now.
Which specialty label fits ANTESAR ZINDANI (PA-C)?
NPPES ties ANTESAR ZINDANI (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ANTESAR ZINDANI (PA-C) tied to Dearborn, Michigan?
If you are local to Dearborn, Michigan, ANTESAR ZINDANI (PA-C) may be relevant to your search.
Can I export ANTESAR ZINDANI (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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