Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Daniel Zaki, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528527561

Theodore Daniel Zaki, MD is a Dermatology in Surprise, Arizona. Graduated from Yale University School of Medicine in 2019, 7 years ago. Practices with Richard Lee Averitte Jr PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
Yale University School of Medicine
Licensed in
AZ
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13995 W Statler Blvd Ste 150
Surprise, AZ 85374-5512
Phone: (480) 556-0446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 68724 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 68724 (AZ)

Record details

NPI number1528527561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Richard Lee Averitte Jr Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Surprise