Kazem Hak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301067151 Issued in MI

Practice address

3400 Fleckenstein Rd
Suite 3
Flint, MI 48507-3043

Phone

(810) 230-9323

Fax

(810) 230-9328

NPI assigned

Feb 16, 2006

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Michigan Internal Medicine PC

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1295757854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1083688725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD STE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073042",
            "telephone_number": "810-230-9323",
            "fax_number": "810-230-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073043",
            "telephone_number": "810-230-9323",
            "fax_number": "810-230-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAK",
        "first_name": "KAZEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4371320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayman Haidar, M.D.
• Claudette Hairston, LLPC, LMT
• Katlyn Janelle Haist
• Larah Jamila Haj-Diab, LARAH DIAB
• Aleena Hajek, MD
• Hal F. Martens, D.O., PLC
• Elizabeth Ann Hale, M.D.
• Heather A Hale, LMSW
• Linda K. Hale, MSW, LMSW
• Tiani Hale, NP

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.