Individual provider Active NPI

Mouhamad Bazzi, MD

  • Hematology & Oncology Physician
  • Frederick, MD
National Provider Identifier
1265619878
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0072463 Issued in MD
Practice address
2405 Whittier Drive
Suite 100
Frederick, MD 21702-3361
Phone
(301) 682-2988
Fax
(301) 682-2989
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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 PP20574 MD
Hematology & Oncology Physician 207RH0003X D0072463 MD Primary

Addresses

Primary practice location

2405 Whittier Drive
Suite 100
Frederick, MD 21702-3361

Mailing address

2405 Whittier Drive
Suite 100
Frederick, MD 21702-3361
Phone (301) 682-2988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000399 MD Practitioner - Hematology/Oncology 3173799897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2405 Whittier Dr
Suite 100
Frederick, MD 21702-3361
Phone (301) 682-2988

Hospital & facility affiliations

  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Merit-based Incentive Payment System (MIPS)

Final score
99.68 of 100Reported as individual
Quality
100
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PP20574MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Oncology and Hematology Center LLC Hematology & Oncology CurrentSince Apr 22, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2405 Whittier Dr
Unit 100
Frederick, MD 21702
Phone (301) 682-2988

Organizations & group practices 2

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 3

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1265619878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WHITTIER DRIVE",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023361",
            "telephone_number": "301-682-2988",
            "fax_number": "301-682-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 WHITTIER DRIVE",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023361",
            "telephone_number": "301-682-2988",
            "fax_number": "301-682-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "MOUHAMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "PP20574",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0072463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.