NPIMap

Individual provider Active NPI

Rabih Moussa Bazzi, M.D.

  • Nephrology Physician
  • Dearborn, MI
National Provider Identifier
1235130691
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301077565 Issued in MI
Practice address
1537 Monroe St
Ste 100
Dearborn, MI 48124-2842
Phone
(313) 359-2100
Fax
(313) 359-2104
NPI assigned
Aug 9, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301077565 MI
Nephrology Physician 207RN0300X 4301077565 MI Primary

Addresses

Primary practice location

1537 Monroe St
Ste 100
Dearborn, MI 48124-2842

Mailing address

1537 Monroe St
Ste 100
Dearborn, MI 48124-2842
Phone (313) 359-2100

Other identifiers 8

IdentifierTypeStateIssuer
104955561MedicaidMI
1106358722OtherMIBLUE CROSS BLUE SHIELD
8041OtherTOTAL HEALTH CARE
024084OtherMIDWEST HEALTH PLAN
5315018532OtherMICONTROLLED SUBSTANCE
146976OtherGREAT LAKES HEALTH PLAN
05959549OtherECFMG
110H229590OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000828 MI Practitioner - NephrologyPractitioner - Internal Medicine 9830167477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephron Clinic PCGroup PAC ID 4587833413, 6 clinicians

Practice addresses (Care Compare)

1537 Monroe St
Dearborn, MI 48124-2842
Phone (313) 359-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.4 of 100Reported as individual
Quality
11.67
Improvement activities
0
Cost
85.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephron Clinic PC Nephrology CurrentSince May 15, 2011 Accepting new patients
Home Health Management PC Internal Medicine PastSince Jul 8, 2004 Accepting new patients
Cedar Medical SNF Services PLLC Internal Medicine PastSince Oct 1, 2023 Accepting new patients
Ali a Fadel MD, PC Past Accepting new patients
Dearborn Kidney Center LLC PastSince Sep 1, 2015 Accepting new patients
Doctors at Home P.LC. Internal Medicine PastSince Dec 27, 2006 Accepting new patients
Ali a Fadel MD PC Internal Medicine Past Accepting new patients

Locations

1537 Monroe St
Ste 100
Dearborn, MI 48124
Phone (313) 359-2100

2040 Monroe St
Ste 209
Dearborn, MI 48124
Phone (313) 359-2100

Interoperability endpoints

  • Direct secure messaging: rbazzi60724@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235130691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST",
            "address_2": "STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-359-2100",
            "fax_number": "313-359-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST",
            "address_2": "STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-359-2100",
            "fax_number": "313-359-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "RABIH",
        "middle_name": "MOUSSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077565",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301077565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104955561",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1106358722",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "8041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "024084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5315018532",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "146976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "05959549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110H229590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.