DR. MICHAEL A JR. ZICCARDI (DO) – Family Medicine Physician, NPI 1366433377

DR. MICHAEL A JR. ZICCARDI (DO) is a healthcare provider. based in Flint, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101012293 (MI). The NPI Number for DR. MICHAEL A JR. ZICCARDI (DO) is 1366433377

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL A JR. ZICCARDI (DO)
NPI
1366433377
Phone
(810) 342-1000
Address
401 S BALLENGER HWY
Enumeration Date
31 October 2005
Last Update Date
16 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104962500
Graduation Year
1994 (32 years ago)
PAC ID
0143369272
Group Practice PAC ID
8628975497
Professional Enrollment ID
I20091203000354
Address ID
MI484303417FE2420XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. MICHAEL A JR. ZICCARDI (DO)

  • McLaren Flint, 401, South Ballenger Highway, Flint, Genesee County, Michigan, 48532, United States

    FLINT, MI 485323638

    Phone: (810) 342-1000

    Fax: (810) 342-1590

    Type: Mailing

  • 2420, Owen Road, Fenton, Genesee County, Michigan, 48430, United States

    FENTON, MI 484303417

    Phone: (810) 496-2500

    Fax: (810) 629-0415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($29).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

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: 2009-12-03

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
I20091203000354IFamily PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3520$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 48532)

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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: 8628975497View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Physical Medicine And RehabilitationMI
Family PracticeMI
-MI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

What is the standard ID for DR. MICHAEL A JR. ZICCARDI (DO) in the U.S.?
In the U.S., DR. MICHAEL A JR. ZICCARDI (DO) is identified by NPI 1366433377.
Quick check: is DR. MICHAEL A JR. ZICCARDI (DO) active?
Public NPPES data shows DR. MICHAEL A JR. ZICCARDI (DO) with an active NPI status right now.
What type of care does DR. MICHAEL A JR. ZICCARDI (DO) provide?
DR. MICHAEL A JR. ZICCARDI (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL A JR. ZICCARDI (DO) tied to Flint, Michigan?
If you are local to Flint, Michigan, DR. MICHAEL A JR. ZICCARDI (DO) may be relevant to your search.
Who maintains DR. MICHAEL A JR. ZICCARDI (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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