DANIAL JEROME ZAK (D.O.) – Psychiatry Physician, NPI 1417164575

DANIAL JEROME ZAK (D.O.) is a healthcare provider. based in Ann arbor, Michigan. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 5101015735 (MI). The NPI Number for DANIAL JEROME ZAK (D.O.) is 1417164575

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DANIAL JEROME ZAK (D.O.)
NPI
1417164575
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
17 May 2007
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5173533070
Graduation Year
2003 (23 years ago)
PAC ID
8729161005
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20080208000504
Address ID
MI488246410EA909XXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,213 PSYCHIATRY in MI

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Provider Addresses for DANIAL JEROME ZAK (D.O.)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • 909 Wilson Rd

    East Lansing, MI 488246410

    Phone: (517) 353-3070

    Fax: (517) 884-1817

    Type: Location

  • 1500 E Medical Center Dr

    Ann Arbor, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • 3681 OKEMOS RD STE 500

    OKEMOS, MI 488646923

    Phone: (517) 273-4944

    Fax: (517) 441-4730

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-16 • Largest payer in this snapshot: ITI, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ITI, Inc.$14
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: 2008-02-08

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
I20080208000504IPsychiatryMITBD

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 48108)

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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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What is the standard ID for DANIAL JEROME ZAK (D.O.) in the U.S.?
In the U.S., DANIAL JEROME ZAK (D.O.) is identified by NPI 1417164575.
Quick check: is DANIAL JEROME ZAK (D.O.) active?
Public NPPES data shows DANIAL JEROME ZAK (D.O.) with an active NPI status right now.
How should patients interpret DANIAL JEROME ZAK (D.O.)'s specialty?
The extract shows Psychiatry Physician for DANIAL JEROME ZAK (D.O.). Clinical services aligned with this taxonomy classification.
Is DANIAL JEROME ZAK (D.O.) tied to Ann Arbor, Michigan?
If you are local to Ann Arbor, Michigan, DANIAL JEROME ZAK (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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