MOHAMMAD B ZALT MD
NPI 1851331037
Internal Medicine - Pulmonary Disease in Saint Clair Shores, MI

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
21000 E 12 MILE RD STE 112, SAINT CLAIR SHORES, MI 48081(586) 314-0080(877) 673-3562 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Jul 6, 2023 (2 updates tracked since 2023).

About Mohammad B Zalt Md NPPES

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

MOHAMMAD B ZALT MD (NPI 1851331037) is an individual pulmonary disease provider in Saint Clair Shores, Michigan, licensed in Michigan (4301076574) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1851331037
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMOHAMMAD B ZALTCredential: MD
Location Address21000 E 12 MILE RD STE 112Saint Clair Shores, MI 48081-1156
Mailing Address50505 Schoenherr Rd, Suite 290Shelby Township, MI 48315-3140 · (586) 314-0080 · Fax (877) 673-3562
Fax(877) 673-3562
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 7, 2006
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1851331037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301076574
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301076574 (MI)
21000 E 12 MILE RD STE 112, Saint Clair Shores, MI 48081

Other Identifiers 1

Medicaid4623392MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohammad B Zalt 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 ID6406843820
PECOS Enrollment IDI20040428000467
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mohammad Zalt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1447 N HARRISON ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
Audiologist
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

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 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.
530 services176 patients
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.
79 services47 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.
61 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims27 services$14.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$6.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims18 services$65.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081

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 Mohammad Zalt's NPI number?

The NPI number for Mohammad Zalt is 1851331037. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Mohammad Zalt located?

Mohammad Zalt practices at 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081. The listed phone number is (586) 314-0080.

What is Mohammad Zalt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohammad Zalt enrolled in Medicare?

Yes. Mohammad Zalt 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.

Which organizations bill Medicare for Mohammad Zalt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Zalt reassigns Medicare benefits to 2 organizations: Covenant Medical Center, Inc (Saginaw, MI) and Lakeland Medical Practices (Niles, MI). Each 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 Mohammad Zalt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Zalt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Mohammad Zalt 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 Mohammad Zalt was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.