Blake Ryan Movitz, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301501607 Issued in MI

Practice address

22401 Foster Winter Dr
Southfield, MI 48075-3724

Phone

(313) 889-3456

Fax

(313) 429-1021

NPI assigned

Apr 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General SurgeryAlso: Gastroenterology

Education

Michigan State University College of Human Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.movitz.1@29541.direct.athenahealth.com
• Direct secure messaging: bmovitz1142302@direct.hfhs.org

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

• Dr Blake Movitz PLLC

  • Surgery Physician
  • Southfield, MI
  • NPI 1568044139
  Medicare reassignment NPD Authorized official
• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment Care Compare group NPD
• Addison Community Physician Services Association

  • Diagnostic Radiology Physician
  • Ypsilanti, MI
  • NPI 1912066093

  Surgery

  NPD
• Iha Health Service Corporation

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD
• Iha Health Services Corporation

  • Surgery Physician
  • Ypsilanti, MI
  • NPI 1255470233
  NPD
• Southfield Rehabilitation Company

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1790785095
  NPD (past)
• VHS Huron Valley-Sinai Hospital Inc

  • General Acute Care Hospital
  • Commerce Township, MI
  • NPI 1922310200
  NPD (past)

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• St Joseph Mercy Chelsea Inc

  • General Acute Care Hospital
  • Chelsea, MI
  • NPI 1992761985
  Care Compare affiliation
• VHS Huron Valley-Sinai Hospital Inc

  • General Acute Care Hospital
  • Commerce Township, MI
  • NPI 1922310200
  Care Compare affiliation

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1134548696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43422 W OAKS DR STE 301",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773300",
            "telephone_number": "313-889-3456",
            "fax_number": "313-429-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "313-889-3456",
            "fax_number": "313-429-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "313-889-3456",
            "fax_number": "313-429-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOVITZ",
        "first_name": "BLAKE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301501607",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "65467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Moukahal, MD
• Mark Mounayer, MD
• Alessandra Macedo de Moura
• Rany Mousa, DC
• Natalie Moussa, DPM
• Brooke Caroline Mower, MD
• Jasmine Moyer
• Mark Mozee
• MPS ASC Ventures Inkster, LLC
• Ms Counseling Services LLC

• Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.