Individual provider Active NPI

Fouad Mrad Azoury, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Detroit, MI
National Provider Identifier
1265735047
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301097532 Issued in MI
Practice address
22201 Moross Rd
Suite 356
Detroit, MI 48236-2169
Phone
(313) 343-7444
Fax
(313) 343-7999
NPI assigned
Dec 16, 2010
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301097532 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301097532 MI Primary

Addresses

Primary practice location

22201 Moross Rd
Suite 356
Detroit, MI 48236-2169

Mailing address

22201 Moross Rd
Suite 356
Detroit, MI 48236-2169
Phone (313) 343-7444

Other identifiers 1

IdentifierTypeStateIssuer
700E012740OtherMIBCBS GROUP NUMBER

Other names 1

  • Fouad Mrad Azouri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110217000864 MI Practitioner - Thoracic Surgery 8022299437 Reassigns benefits to 11 organizations
I20201014003205 OH Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 8022299437

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
McLaren Port HuronGroup PAC ID 9931018702, 48 clinicians
McLaren FlintGroup PAC ID 8628975497, shared by 6 NPIs, 144 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (810) 493-8000

1117 Stone St
Suite 1
Port Huron, MI 48060-3525
Phone (810) 488-8480

1163 S Carney Dr
Saint Clair, MI 48079-5569
Phone (810) 561-8450

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 985-2663

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

22201 Moross Rd
Detroit, MI 48236-2176

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2063

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097532MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Feb 14, 2024 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Feb 1, 2011 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
McLaren Flint Surgery CurrentSince Jan 20, 2013 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Feb 1, 2011 Accepting new patients
McLaren Lapeer Region Surgery CurrentSince Jul 1, 2021 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Greater Lansing Current Accepting new patients
McLaren Flint Surgery CurrentSince Jan 1, 2022 Accepting new patients
McLaren Greater Lansing Surgery CurrentSince Jun 23, 2018 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 13, 2025 Accepting new patients
McLaren Flint CurrentSince Jan 20, 2013 Accepting new patients
McLaren Port Huron Current Accepting new patients
McLaren Macomb Surgery CurrentSince Feb 18, 2026 Accepting new patients
McLaren Port Huron CurrentSince Feb 1, 2016 Accepting new patients
McLaren Central Michigan CurrentSince Apr 1, 2025 Accepting new patients
McLaren Lapeer Region CurrentSince Jul 1, 2021 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 13, 2025 Accepting new patients
Center for Cardiovascular & Thoracic Surgery PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 21, 2022 Accepting new patients
McLaren Central Michigan CurrentSince Apr 1, 2025 Accepting new patients
McLaren Flint Current Accepting new patients
Henry Ford Health St. John Hospital Surgery CurrentSince Feb 14, 2024 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
McLaren Greater Lansing CurrentSince Jun 23, 2018 Accepting new patients
University Physician Group Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

401 S Ballenger Hwy
Ste 3N
Flint, MI 48532
Phone (810) 342-5700

22201 Moross Rd
Ste 356
Grosse Pointe, MI 48236
Phone (313) 343-7444

3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

1107 Stone St
Ste 1
Port Huron, MI 48060
Phone (810) 982-8300

1117 Stone St
Ste 1
Port Huron, MI 48060
Phone (810) 488-8480

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • Direct secure messaging: fazoury1115788@direct.hfhs.org
  • Direct secure messaging: fouad.azoury.1@28645.direct.athenahealth.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 9

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1265735047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "SUITE 356",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-7444",
            "fax_number": "313-343-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "SUITE 356",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-7444",
            "fax_number": "313-343-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZOURY",
        "first_name": "FOUAD",
        "middle_name": "MRAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301097532",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301097532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FOUAD",
            "last_name": "AZOURI",
            "middle_name": "MRAD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.