Individual provider Active NPI

Tara Mary Aziz, MD

  • Family Medicine Physician
  • Bloomfield Township, MI
National Provider Identifier
1205539780
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301516423 Issued in MI
Practice address
43097 Woodward Ave Ste 100
Bloomfield Township, MI 48302-5042
Phone
(248) 836-0040
Fax
(248) 836-0042
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 Physician 207Q00000X 4301516423 MI Primary

Addresses

Primary practice location

43097 Woodward Ave Ste 100
Bloomfield Township, MI 48302-5042

Mailing address

43097 Woodward Ave Ste 100
Bloomfield Township, MI 48302-5042
Phone (248) 836-0040

Other practice location 1

37595 7 Mile Rd Ste 210
Livonia, MI 48152-1489
Phone (734) 853-5690

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
I20230712003076 MI Order and Referring Only - Family PracticePractitioner - Family Practice 0446610208

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484

PO Box
Suite 778913
Chicago, IL 60677-8913

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

National Provider Directory

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1205539780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025042",
            "telephone_number": "248-836-0040",
            "fax_number": "248-836-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025042",
            "telephone_number": "248-836-0040",
            "fax_number": "248-836-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37595 7 Mile Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521489",
            "country_code": "US",
            "telephone_number": "734-853-5690",
            "fax_number": "734-430-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "TARA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "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": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301516423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, MI

Sources for this page

Verify at the official NPI Registry.