NPIMap

Individual provider Active NPI

Nader H Bazzi, DO

  • Family Medicine Physician
  • Allen Park, MI
National Provider Identifier
1255952602
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101027607 Issued in MI
Practice address
14825 Southfield Rd
Allen Park, MI 48101-2642
Phone
(313) 383-7071
Fax
(313) 383-7195
NPI assigned
Apr 27, 2020
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101027607 MI Primary

Addresses

Primary practice location

14825 Southfield Rd
Allen Park, MI 48101-2642

Mailing address

14825 Southfield Rd
Allen Park, MI 48101-2642
Phone (313) 383-7071

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
I20230830002372 MI Practitioner - Family Practice 7113349705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health PCGroup PAC ID 4082600549, 7 clinicians
Primedical Healthcare Associates PLLCGroup PAC ID 2860846649, 8 clinicians

Practice addresses (Care Compare)

19020 Fort St
Riverview, MI 48193-6701
Phone (313) 362-5100

6501 Greenfield Rd
Suite B
Detroit, MI 48228-4780
Phone (313) 651-7053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health PC CurrentSince Dec 2, 2024 Accepting new patients
Downriver Family Health PLLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Primedical Healthcare Associates PLLC CurrentSince Sep 1, 2024 Accepting new patients
Ghassan a Atto MD PLLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

14825 Southfield Rd
Allen Park, MI 48101
Phone (313) 383-7071

6501 Greenfield Rd
Detroit, MI 48228
Phone (313) 281-2225

6501 Greenfield Rd
Ste B
Detroit, MI 48228
Phone (313) 651-7053

19020 Fort St
Riverview, MI 48193
Phone (313) 362-5100

Interoperability endpoints

  • Direct secure messaging: nbazzi865603@direct.hfhs.org

Organizations & group practices 6

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 10

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1255952602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012642",
            "telephone_number": "313-383-7071",
            "fax_number": "313-383-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012642",
            "telephone_number": "313-383-7071",
            "fax_number": "313-383-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "NADER",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.