Individual provider Active NPI

Hassan Issa Baiz, M.D.

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1124553011
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301502441 Issued in MI
Practice address
5479 Schaefer Rd
Dearborn, MI 48126-3222
Phone
(313) 791-7992
Fax
(313) 406-2961
NPI assigned
Apr 27, 2017
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301502441 MI Primary

Addresses

Primary practice location

5479 Schaefer Rd
Dearborn, MI 48126-3222

Mailing address

5479 Schaefer Rd
Dearborn, MI 48126-3222
Phone (313) 791-7992

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
I20220210002413 MI Practitioner - Family Practice 9830582014 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301502441MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Pacs 2 PC Multi-Specialty CurrentSince Aug 12, 2024 Accepting new patients
Metro Hospitalist Group PLLC Multi-Specialty CurrentSince Jan 25, 2022 Accepting new patients
Michigan Post-Acute Medical Services 1 PC Multi-Specialty CurrentSince Aug 12, 2024 Accepting new patients
Slim Internal Medicine PLLC Multi-Specialty CurrentSince Jan 25, 2022 Accepting new patients
CS Pacs 3 Midwest LLC Multi-Specialty CurrentSince Sep 9, 2024 Accepting new patients
CRG Lynwood, LLC Multi-Specialty Past Accepting new patients
Adrian Bay Operating LLC Past Accepting new patients
Optalis Ann Arbor Opco LLC Past Accepting new patients
Lenawee Medical Care Facility Multi-Specialty Past Accepting new patients
Adrian Mi SNF Management LLC Past Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

24513 Ford Rd
Dearborn, MI 48128
Phone (313) 562-9020

5479 Schaefer Rd
Dearborn, MI 48126
Phone (313) 357-2225

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Interoperability endpoints

  • Direct secure messaging: hbaiz782192@direct.hfhs.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1124553011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263222",
            "telephone_number": "313-791-7992",
            "fax_number": "313-406-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263222",
            "telephone_number": "313-791-7992",
            "fax_number": "313-406-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIZ",
        "first_name": "HASSAN",
        "middle_name": "ISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.