NPIMap

Organization Active NPI

Neurosurgery and Spine Care PLLC

  • Neurological Surgery Physician
  • Farmington Hills, MI
National Provider Identifier
1144818436
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGERY AND SPINE CARE PLLC
Practice address
28592 Orchard Lake Rd Ste 333
Farmington Hills, MI 48334-2903
Phone
(855) 785-1110
Fax
(248) 282-0866
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Hazem Eltahawy, MDNPI 1255378253
Title
Owner
Phone
(248) 480-5424

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

28592 Orchard Lake Rd Ste 333
Farmington Hills, MI 48334-2903

Mailing address

1221 Bowers St Unit 940
Birmingham, MI 48012-7037
Phone (855) 785-1110

Other practice location 1

34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093
Phone (248) 516-5016

Other practice location 2

42645 Garfield Rd Ste 103
Clinton Township, MI 48038-5022
Phone (586) 286-7246

Other identifiers 1

IdentifierTypeStateIssuer
1144818436MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120002954 MI Part B Supplier - Clinic/Group Practice 3870907504 Receives reassigned benefits from 10 practitioners
Practice locations: Commerce Township, MI; Clinton Township, MI; Livonia, MI; Garden City, MI; Farmington Hills, MI; Detroit, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1221 Bowers St
Unit 940
Birmingham, MI 48012

6255 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (248) 275-1144

44200 Woodward Ave
Ste 101
Pontiac, MI 48341
Phone (248) 212-0678

4677 Towne Centre Rd
Ste 301
Saginaw, MI 48604
Phone (517) 799-8712

5085 Monroe St
Ste 940
Toledo, OH 43623

Practitioners & affiliated clinicians

Practitioners 10

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1144818436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWERS ST UNIT 940",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480127037",
            "telephone_number": "855-785-1110",
            "fax_number": "248-282-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 333",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342903",
            "telephone_number": "855-785-1110",
            "fax_number": "248-282-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34020 7 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523093",
            "country_code": "US",
            "telephone_number": "248-516-5016",
            "fax_number": "248-516-5017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42645 Garfield Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480385022",
            "country_code": "US",
            "telephone_number": "586-286-7246",
            "fax_number": "586-329-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROSURGERY AND SPINE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "ELTAHAWY",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-480-5424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144818436",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.