NICHOLAS JAMES ZAJDEL (MD) – Dermatology Physician, NPI 1629430210

NICHOLAS JAMES ZAJDEL (MD) is a healthcare provider. based in Brookfield, Wisconsin. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 6355-851 (WI). The NPI Number for NICHOLAS JAMES ZAJDEL (MD) is 1629430210

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS JAMES ZAJDEL (MD)
NPI
1629430210
Phone
(262) 754-4488
Address
13800 W NORTH AVE STE 100
Enumeration Date
23 March 2016
Last Update Date
23 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2627544488119
Graduation Year
2016 (10 years ago)
PAC ID
8921370750
Group Practice PAC ID
8123065794
Professional Enrollment ID
I20200730002274
Address ID
WI530054977BR13800AVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

339 DERMATOLOGY in WI

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Provider Addresses for NICHOLAS JAMES ZAJDEL (MD)

  • West North Avenue, Brookfield, Waukesha County, Wisconsin, 53005, United States

    BROOKFIELD, WI 530054977

    Phone: (262) 754-4488

    Mailing address matches the actual address.

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 $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-01-02 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$100
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: 2020-07-30

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
I20200730002274IDermatologyWITBD

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
17003Destruction of precancer skin growth, 2-14 growths39984$0
99213Established patient office or other outpatient visit, 20-29 minutes263214$0
11102Biopsy of related skin growth, first growth176156$0
17000Destruction of precancer skin growth, 1 growth136120$0
99203New patient office or other outpatient visit, 30-44 minutes118118$0
View full utilization report →

Insurance plans in this area (ZIP 53005)

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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: 8123065794View full group profile
NameSpecialtyState
D E R M A T O L O G YWI
Micrographic Dermatologic Surgery (Mds), DermatologyOH
Physician AssistantWI
D E R M A T O L O G YWI
D E R M A T O L O G YWI
-WI
D E R M A T O L O G YWI
D E R M A T O L O G YWI
-WI
D E R M A T O L O G YWI

Reviews

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Frequently asked questions

What federal number belongs to NICHOLAS JAMES ZAJDEL (MD)?
The federal identifier for NICHOLAS JAMES ZAJDEL (MD) is NPI 1629430210.
Is NICHOLAS JAMES ZAJDEL (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize NICHOLAS JAMES ZAJDEL (MD)'s specialty in plain language?
Clinically, the directory lists NICHOLAS JAMES ZAJDEL (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place NICHOLAS JAMES ZAJDEL (MD)?
The snapshot lists Brookfield, Wisconsin for NICHOLAS JAMES ZAJDEL (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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