Active NPI
Abed Kanzy Abbas Kanzy, M.D
- Hospitalist Physician
- Flint, MI
National Provider Identifier
1265729370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.133176
- Practice address
- 2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190 - Phone
- (810) 399-9641
- NPI assigned
- Jul 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301098729 | MI | |
| Hospitalist Physician | 208M00000X | 35.133176 | OH | Primary |
Addresses
Primary practice location
2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190
Mailing address
2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190
Phone (810) 399-9641
Other practice location 1
3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0382200 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098729 | MI | MD | Internal Medicine Physician |
| 35.133176 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
Interoperability endpoints
- akanzy4016@direct.hurleymc.com
- akanzy24320@direct.utoledo.edu
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.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1265729370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 ROBERT T LONGWAY BLVD STE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485032190",
"telephone_number": "810-399-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 ROBERT T LONGWAY BLVD STE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485032190",
"telephone_number": "810-399-9641"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-3811",
"fax_number": "419-383-2918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANZY",
"first_name": "ABED",
"middle_name": "KANZY ABBAS",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-09",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301098729",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.133176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0382200",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.