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GRANT ZYDECK MD
NPI 1356284939
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 10, 2026PECOS Enrolled
6071 W OUTER DR, DETROIT, MI 48235(313) 966-3150 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Grant Zydeck Md NPPES

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

GRANT ZYDECK MD (NPI 1356284939) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356284939
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT ZYDECKCredential: MD
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing Address28111 Golf Pointe BlvdFarmington Hills, MI 48331-2934
Phone(313) 966-3150
Sole ProprietorNo
Enumeration DateApril 10, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1356284939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6071 W OUTER DR, Detroit, MI 48235
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Zydeck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. LILIA POPADIUK P.A.
Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 993-0200
WALEED OBAID M.D
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3250
JAY KINARIWALA
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-1389
MULUKA TAHIR OMAR DO
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
NICKLAS BARA MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
DR. ROBERT T MALINOWSKI M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
ZAKLINA DENDOOVEN CRNA
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (952) 442-9770
DR. MATTHEW J GRIFFIN M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300

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 Grant Zydeck's NPI number?

The NPI number for Grant Zydeck is 1356284939. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Grant Zydeck located?

Grant Zydeck practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 966-3150.

What is Grant Zydeck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grant Zydeck enrolled in Medicare?

Yes. Grant Zydeck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Zydeck was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.