Active NPI
Rostam Adult and Pediatric Medicine PLLC
- Family Medicine Physician
- Bad Axe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC
- Practice address
- 262 S PT Crescent St
Bad Axe, MI 48413-9635 - Phone
- (989) 493-9327
- Fax
- (989) 623-0172
- NPI assigned
- Feb 12, 2018
- Last updated
- May 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Behzod Rostam, MD
- Title
- Owner
- Phone
- (248) 930-6442
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
262 S PT Crescent St
Bad Axe, MI 48413-9635
Mailing address
1121 Carrie Lynn Dr
Bay City, MI 48706-9399
Phone (248) 930-6442
Other practice location 1
1080 S Van Dyke Rd
Bad Axe, MI 48413-9635
Phone (248) 930-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
262 S Port Crescent St
Bad Axe, MI 48413
Phone (989) 493-9327
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Bad Axe, MI
- NPI 1902125677
-
- Family Nurse Practitioner
- Bad Axe, MI
- NPI 1881156594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1235638651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 CARRIE LYNN DR",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069399",
"telephone_number": "248-930-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 S PT CRESCENT ST",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484139635",
"telephone_number": "989-493-9327",
"fax_number": "989-623-0172"
}
],
"practiceLocations": [
{
"address_1": "1080 S Van Dyke Rd",
"address_purpose": "LOCATION",
"city": "Bad Axe",
"state": "MI",
"postal_code": "484139635",
"country_code": "US",
"telephone_number": "248-930-6442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-12",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "ROSTAM",
"authorized_official_first_name": "BEHZOD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-930-6442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.