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DR. ADI ZACLLI MD
NPI 1235872425
Internal Medicine in Detroit, MI

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment
4100 JOHN R ST, DETROIT, MI 48201(800) 527-6266 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Apr 15, 2022 (2 updates tracked since 2022).

About Dr. Adi Zaclli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADI ZACLLI MD (NPI 1235872425) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301514623) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1235872425
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADI ZACLLICredential: MD
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address400 Mack AveDetroit, MI 48201-2136
Phone(800) 527-6266
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2025
Enumeration DateApril 15, 2022
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1235872425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301514623
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4100 JOHN R ST, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 14201 Saint Antoine StDetroit, MI 48201-2153 · Phone (313) 745-4627

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adi Zaclli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941682991
PECOS Enrollment IDI20250610002080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA ANN KARMANOS CANCER HOSPITAL
Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
Wayne County (313) 576-9350
BARBARA ANN KARMANOS CANCER CENTER
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9345
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
ANDREA P SAMPSON-HAGGOOD N.P.
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
KATHERINE BRECKENRIDGE SLP
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (800) 527-6266
KRISTEN MOERCHEN
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 831-4038
DR. STEPHEN A KAURALA
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9815
ELIZABETH HAY PHARMD
Pharmacist (Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-8807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adi Zaclli's NPI number?

The NPI number for Adi Zaclli is 1235872425. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Adi Zaclli located?

Adi Zaclli practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (800) 527-6266.

What is Adi Zaclli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adi Zaclli enrolled in Medicare?

Yes. Adi Zaclli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adi Zaclli accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Adi Zaclli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adi Zaclli affiliated with any hospitals?

According to CMS data, Adi Zaclli is affiliated with Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Adi Zaclli was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.