SALZAC MEDICAL GROUP PC
NPI 1679421283
Family Medicine in Southfield, MI

Active since March 19, 2026
21701 W 11 MILE RD STE 5, SOUTHFIELD, MI 48076(248) 569-7550(248) 569-7552 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Salzac Medical Group Pc NPPES

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

SALZAC MEDICAL GROUP PC (NPI 1679421283) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since March 2026. The organization maintains 2 additional practice locations and lists Zakari Tata, Director, as its authorized official.

NPPES Registry Identity

NPI1679421283
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSALZAC MEDICAL GROUP PC
Location Address21701 W 11 MILE RD STE 5Southfield, MI 48076-3713
Mailing Address21701 W 11 Mile Rd Ste 5Southfield, MI 48076-3713 · (248) 569-7550 · Fax (248) 569-7552
Fax(248) 569-7552
Organization SubpartNo
Authorized OfficialZakari TataDirector · (248) 787-8197
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1679421283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21701 W 11 MILE RD STE 5, Southfield, MI 48076

Secondary Practice Locations 2

Location 120129 Connor StDetroit, MI 48234 · Phone (248) 569-7550 · Fax (248) 569-7552
Location 220000 Dequindre StDetroit, MI 48234-4512 · Phone (248) 569-7550 · Fax (248) 569-7552

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salzac Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Salzac Medical Group PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1871591313
21701 W 11 MILE RD STE 5
Southfield, MI 48076
(249) 569-7550
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215385851
21701 W 11 MILE RD STE 5
Southfield, MI 48076
(248) 569-7550
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083386353
120 N WASHINGTON SQ
Lansing, MI 48933
(517) 258-0102
✔ PECOS✔ Accepts Medicare68 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Salzac Medical Group PC's NPI number?

The NPI number for Salzac Medical Group PC is 1679421283. It was assigned to this organization in the NPPES registry on March 19, 2026.

Where is Salzac Medical Group PC located?

Salzac Medical Group PC is located at 21701 W 11 Mile Rd Ste 5, Southfield, MI 48076. The listed phone number is (248) 569-7550.

What is Salzac Medical Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Salzac Medical Group PC enrolled in Medicare?

Yes. Salzac Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Salzac Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Salzac Medical Group PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Salzac Medical Group PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Salzac Medical Group PC 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.

When was this NPI record last updated?

The NPPES record for Salzac Medical Group PC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.