NPIMap

Individual provider Active NPI

Hazem A Eltahawy, MD

  • Neurological Surgery Physician
  • Detroit, MI
National Provider Identifier
1255378253
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301083460 Issued in MI
Practice address
4160 John R Ste 925
Harper Professional Building
Detroit, MI 48201-2020
Phone
(313) 831-0777
Fax
(313) 745-2777
NPI assigned
May 31, 2006
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301083460 MI Primary

Addresses

Primary practice location

4160 John R Ste 925
Harper Professional Building
Detroit, MI 48201-2020

Mailing address

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (877) 486-7978

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
I20050301000188 MI Practitioner - Neurosurgery 2567415680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

28592 Orchard Lake Rd
Suite 333
Farmington Hills, MI 48334-2903
Phone (855) 785-1110

34020 7 Mile Rd
Suite 101
Livonia, MI 48152-3093
Phone (248) 900-1555

42645 Garfield Rd
Suite 103
Clinton Township, MI 48038-5022
Phone (586) 286-7246

4677 Towne Centre Rd
Suite 301
Saginaw, MI 48604-2848
Phone (855) 298-9888

6255 Inkster Rd
Garden City, MI 48135-2538
Phone (855) 785-1110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion188
Laminectomy or laminotomy (partial removal of spine bones)55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083460MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery and Spine Care PLLC CurrentSince Dec 20, 2020 Accepting new patients
VHS Physicians of Michigan CurrentSince Nov 18, 2024 Accepting new patients
Neurosurgery and Spine Care PLLC Neurological Surgery CurrentSince Dec 20, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Neurological Surgery CurrentSince Jan 14, 2025 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jan 14, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Enspa PLLC Neurological Surgery CurrentSince Aug 10, 2025 Accepting new patients
Neurosurgery and Spine Care PLLC Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

31500 Telegraph Rd
Ste 205
Bingham Farms, MI 48025
Phone (248) 593-9933

9900 Birch Run Rd
Ste D
Birch Run, MI 48415
Phone (989) 624-1575

1221 Bowers St
Unit 940
Birmingham, MI 48012

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4160 John R St
Ste 925
Detroit, MI 48201
Phone (313) 745-7247

6255 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (248) 275-1144

34020 7 Mile Rd
Ste 101
Livonia, MI 48152
Phone (248) 516-5016

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

4677 Towne Centre Rd
Ste 301
Saginaw, MI 48604
Phone (517) 799-8712

Interoperability endpoints

  • Direct secure messaging: hazem.eltahawy.1@24274.direct.athenahealth.com
  • Direct secure messaging: heltahaw@direct.dmc.org
  • Direct secure messaging: heltahawy1126220@direct.hfhs.org

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1255378253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "877-486-7978",
            "fax_number": "313-745-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R STE 925",
            "address_2": "HARPER PROFESSIONAL BUILDING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-831-0777",
            "fax_number": "313-745-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHAWY",
        "first_name": "HAZEM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301083460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.