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DR. KAROL ZAKALIK MD
NPI 1609867985
Neurological Surgery in Royal Oak, MI

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
3535 W 13 MILE RD, STE 504, ROYAL OAK, MI 48073(248) 551-3020(248) 551-3019 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karol Zakalik Md NPPES

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

DR. KAROL ZAKALIK MD (NPI 1609867985) is an individual neurological surgery provider in Royal Oak, Michigan, licensed in Michigan (4301050230) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1609867985
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. KAROL ZAKALIKCredential: MD
Location Address3535 W 13 MILE RD, STE 504Royal Oak, MI 48073
Mailing Address3535 W 13 Mile Rd, Ste 504Royal Oak, MI 48073 · (248) 551-3020 · Fax (248) 551-3019
Phone(248) 551-3020
Fax(248) 551-3019
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateNovember 4, 2005
Last NPPES UpdateAugust 26, 2013
✔ NPI 1609867985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MI · 4301050230
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3535 W 13 MILE RD, Royal Oak, MI 48073
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Other Identifiers 7

Medicare UPINE37309MI
OtherGROUP DG8023MI · Medicare Railroad Dg8023
OtherPTAN P00455528MI · Medicare Railroad
Medicare PINP52120001MI
Other140F344180MI · Bcbsm
Medicaid2769781-10MI
Other0P52120MI · Ptan Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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. Karol Zakalik 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 ID2961584222
PECOS Enrollment IDI20080125000593
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
162 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
88 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%238 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%443 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%322 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
20%443 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%443 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

AGNES WROBEL M.D.
Psychiatry & Neurology (Psychiatry)
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-1200
DR. HUSNA SHAHNOOR MD
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
HUIYAN JIN
Ophthalmology
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3643
ALMONTASSER BELLA KASSIER MD
Internal Medicine
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 602-8715
DR. RONALD S TAYLOR MD
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, STE 437
ROYAL OAK, MI 48073
Oakland County (248) 288-2210
THWAB FREIHAT
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
LMT REHABILITATION ASSOCIATES
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, SUITE 437
ROYAL OAK, MI 48073
Oakland County (248) 288-2210
ABBY NOWAKOWSKI M.D.
Obstetrics & Gynecology
3535 W 13 MILE RD, SUITE 233
ROYAL OAK, MI 48073
Oakland County (248) 551-0417

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 Karol Zakalik's NPI number?

The NPI number for Karol Zakalik is 1609867985. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Karol Zakalik located?

Karol Zakalik practices at 3535 W 13 Mile Rd Ste 504, Royal Oak, MI 48073. The listed phone number is (248) 551-3020.

What is Karol Zakalik's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Karol Zakalik enrolled in Medicare?

Yes. Karol Zakalik 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 Karol Zakalik accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Karol Zakalik 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 Karol Zakalik affiliated with any hospitals?

According to CMS data, Karol Zakalik is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Karol Zakalik was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.