Individual provider Active NPI

Hameem Changezi, M.D.

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1013984269
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301064119 Issued in MI
Practice address
5084 Villa Linde Pkwy
Suite 6
Flint, MI 48532-3422
Phone
(810) 600-3399
Fax
(810) 600-3398
NPI assigned
Mar 7, 2006
Last updated
Mar 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301064119 MI Primary

Addresses

Primary practice location

5084 Villa Linde Pkwy
Suite 6
Flint, MI 48532-3422

Mailing address

5084 Villa Linde Pkwy
Suite 6
Flint, MI 48532-3422
Phone (810) 600-3399

Other identifiers 2

IdentifierTypeStateIssuer
1013984269MedicaidMI
1042238OtherMIHEALTH PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001440 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5890777528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilfredo Rivera, M.D., P.C.Group PAC ID 1658464557, 5 clinicians

Practice addresses (Care Compare)

2335 S Linden Rd
Flint, MI 48532-5497
Phone (810) 720-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wilfredo Rivera, M.D., P.C. Cardiovascular Disease CurrentSince Oct 1, 2014 Accepting new patients
Advanced Cardiovascular Clinic PC PastSince Aug 22, 2016 Accepting new patients
Advanced Cardiovascular Clinic PC PastSince Oct 13, 2019 Accepting new patients
McLaren Flint PastSince Oct 1, 1998 Accepting new patients

Locations

2335 S Linden Rd
Flint, MI 48532
Phone (810) 240-3424

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGICD/Endpoint/BFGICD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1013984269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 VILLA LINDE PKWY",
            "address_2": "SUITE 6",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323422",
            "telephone_number": "810-600-3399",
            "fax_number": "810-600-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 VILLA LINDE PKWY",
            "address_2": "SUITE 6",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323422",
            "telephone_number": "810-600-3399",
            "fax_number": "810-600-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGEZI",
        "first_name": "HAMEEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301064119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013984269",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "1042238",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.