NPIMap

Organization Active NPI

Heart and Vascular Specialists PC

  • Cardiovascular Disease Physician
  • Troy, MI
National Provider Identifier
1144643149
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301084367 Issued in MI
Legal business name
HEART AND VASCULAR SPECIALISTS PC
Practice address
2221 Livernois Rd
Suite 100
Troy, MI 48083-1603
Phone
(248) 250-9474
Fax
(248) 250-9483
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Ayad Jazrawi, M.D,NPI 1760605166
Title
Owner
Phone
(248) 250-9474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4301084367 MI Primary

Addresses

Primary practice location

2221 Livernois Rd
Suite 100
Troy, MI 48083-1603

Mailing address

2221 Livernois Rd
Suite 100
Troy, MI 48083-1603
Phone (248) 250-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140317002077 MI Part B Supplier - Clinic/Group Practice 3072744960 Receives reassigned benefits from 3 practitioners
Practice locations: Warren, MI; Troy, MI; Southfield, MI; Royal Oak, MI; Rochester Hills, MI; Novi, MI; Clawson, MI; Lathrup Village, MI…

National Provider Directory

National Provider Directory

Locations

710 N Crooks Rd
Clawson, MI 48017
Phone (248) 288-1117

30671 Stephenson Hwy
Madison Hts, MI 48071
Phone (248) 588-8000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1144643149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LIVERNOIS RD",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831603",
            "telephone_number": "248-250-9474",
            "fax_number": "248-250-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LIVERNOIS RD",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831603",
            "telephone_number": "248-250-9474",
            "fax_number": "248-250-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND VASCULAR SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "JAZRAWI",
        "authorized_official_first_name": "AYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-250-9474",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301084367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.