Active NPI
Mazen Naseeb Hamameh, D.O.
- Pediatrics Physician
- Dearborn Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1
- Practice address
- 22350 Ford Rd
Dearborn Heights, MI 48127-2421 - Phone
- (313) 278-2788
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1 | MI | Primary |
Addresses
Primary practice location
22350 Ford Rd
Dearborn Heights, MI 48127-2421
Mailing address
5831 Whitefield St
Dearborn Heights, MI 48127-4812
Phone (313) 505-0895
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Pediatrics | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Premier Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHBBDA/Endpoint/FHBBDA
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Pediatrics Physician
- Dearborn Heights, MI
- NPI 1417407032
-
- Podiatrist
- Westland, MI
- NPI 1013157361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1215142153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 WHITEFIELD ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481274812",
"telephone_number": "313-505-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22350 FORD RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272421",
"telephone_number": "313-278-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMAMEH",
"first_name": "MAZEN",
"middle_name": "NASEEB",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "1",
"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 Jan 26, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.