DR. ZAKARI TATA (MD) – Family Medicine Physician, NPI 1871591313

DR. ZAKARI TATA (MD) is a healthcare provider. based in Southfield, Michigan. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 1040349825 (MI). The NPI Number for DR. ZAKARI TATA (MD) is 1871591313

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZAKARI TATA (MD)
NPI
1871591313
Phone
(248) 569-7550
Address
21701 W 11 MILE RD STE 5
Enumeration Date
8 July 2005
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603355064
Graduation Year
1986 (40 years ago)
PAC ID
9436049806
Group Practice PAC ID
7618367087
Professional Enrollment ID
I20040318001713
Address ID
MI480673837RO306XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. ZAKARI TATA (MD)

  • 21701 W 11 MILE RD STE 5

    SOUTHFIELD, MI 480763713

    Phone: (248) 569-7550

    Fax: (313) 561-0277

    Type: Mailing

  • Providence Drive, Southfield, Oakland County, Michigan, 48075, United States

    SUITE 403

    SOUTHFIELD, MI 480756212

    Phone: (248) 569-7550

    Fax: (313) 561-0277

    Type: Mailing

  • 1202 Catalpa Dr

    Royal Oak, MI 480671127

    Phone: (248) 569-7550

    Fax: (248) 569-7552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-03-18

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
I20040318001713IFamily 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
97535Training for self-care or home management, each 15 minutes8,77085$0
97530Therapy procedure using functional activities2,82553$0
96160Administration and interpretation of patient-focused health risk assessment2,03984$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1,97283$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes364145$0
View full utilization report →

Insurance plans in this area (ZIP 48076)

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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: 7618367087View full group profile
NameSpecialtyState
N E P H R O L O G YMI
Internal MedicineMI
Nephrology, Internal MedicineMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
Nephrology, Internal MedicineMI

Reviews

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Frequently asked questions

What number should I use to identify DR. ZAKARI TATA (MD) for billing?
Administrative and clinical systems typically use NPI 1871591313 for DR. ZAKARI TATA (MD).
Is DR. ZAKARI TATA (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ZAKARI TATA (MD) as active.
What type of care does DR. ZAKARI TATA (MD) provide?
DR. ZAKARI TATA (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ZAKARI TATA (MD)?
DR. ZAKARI TATA (MD) is associated with Southfield, Michigan in the same public data insurers reference.
Why is information missing for DR. ZAKARI TATA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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