Organization Active NPI

Physicians for Seniors PLLC

  • Foot & Ankle Surgery Podiatrist
  • Dearborn Heights, MI
National Provider Identifier
1194598664
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PHYSICIANS FOR SENIORS PLLC
Practice address
26031 W Warren St Ste B
Dearborn Heights, MI 48127-4716
Phone
(313) 563-0660
Fax
(313) 563-0002
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Mohammed Bazzi, DPMNPI 1144537622
Title
Owner
Phone
(313) 772-0805

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

26031 W Warren St Ste B
Dearborn Heights, MI 48127-4716

Mailing address

26031 W Warren St Ste B
Dearborn Heights, MI 48127-4716
Phone (313) 563-0660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212001028 MI Part B Supplier - Clinic/Group Practice 0143679498 Receives reassigned benefits from 8 practitioners
Practice locations: Dearborn Heights, MI; Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

26031 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 563-0660

Practitioners & affiliated clinicians

Practitioners 8

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1194598664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26031 W WARREN ST STE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274716",
            "telephone_number": "313-563-0660",
            "fax_number": "313-563-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26031 W WARREN ST STE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274716",
            "telephone_number": "313-563-0660",
            "fax_number": "313-563-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOR SENIORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-772-0805",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.