NPIMap

Individual provider Active NPI

Muhammad Azrak

  • Gastroenterology Physician
  • Dearborn, MI
National Provider Identifier
1265400477
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301069915 Issued in MI
Practice address
18100 Oakwood Boulevard
Suite 205
Dearborn, MI 48124
Phone
(313) 438-7880
Fax
(313) 438-7882
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301069915 MI Primary
Internal Medicine Physician 207R00000X 4301069915 MI

Addresses

Primary practice location

18100 Oakwood Boulevard
Suite 205
Dearborn, MI 48124

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Other practice location 1

2050 N Haggerty Rd
Canton, MI 48187-3795
Phone (313) 438-7880

Other identifiers 2

IdentifierTypeStateIssuer
110F376980OtherMIBCBSM
4234456MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mazrak120231@direct.beaumont.edu
Direct Messaging Address Muhammad.Azrak@beaumont.org Direct

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
I20110805000014 MI Practitioner - Gastroenterology 2062681224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

18100 Oakwood Blvd
Dearborn, MI 48124-4085

18101 Oakwood Blvd
Dearborn, MI 48124-4089

2050 N Haggerty Rd
Canton, MI 48187-3796

28100 Grand River Ave
Farmington Hills, MI 48336-5970

33101 Annapolis St
Suite 100
Wayne, MI 48184-2405
Phone (734) 467-2670

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy129
Upper gastrointestinal (GI) endoscopy for acid reflux291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301069915MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare Inc CurrentSince Mar 28, 2014 Accepting new patients
Oakwood Healthcare, Inc CurrentSince Mar 28, 2014 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 30, 2018 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jul 18, 2011 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Ambulatory LLC Internal Medicine CurrentSince Jul 18, 2011 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

2050 N Haggerty Rd
Ste 200
Canton, MI 48187
Phone (313) 438-7880

2050 N Haggerty Rd
Ste 220
Canton, MI 48187
Phone (734) 446-9757

18100 Oakwood Blvd
Ste 205
Dearborn, MI 48124
Phone (313) 438-7880

15500 Lundy Pkwy
Dearborn, MI 48126
Phone (313) 586-5011

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: mazrak120231@direct.beaumont.edu
  • Direct secure messaging: mazrak220631@direct.hfhs.org
  • Direct secure messaging: muhammad.azrak@beaumont.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 and National Provider Directory roles.

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1265400477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BOULEVARD",
            "address_2": "SUITE 205",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-438-7880",
            "fax_number": "313-438-7882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 N Haggerty Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873795",
            "country_code": "US",
            "telephone_number": "313-438-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZRAK",
        "first_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301069915",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301069915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F376980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4234456",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mazrak120231@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18100 Oakwood Boulevard",
            "address_2": "Suite 205",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Muhammad.Azrak@beaumont.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18100 Oakwood Boulevard",
            "address_2": "Suite 205",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.