NPIMap

Individual provider Active NPI

Moussa Said Bazzi, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
National Provider Identifier
1326467143
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301105966 Issued in MI
Practice address
4700 Greenfield Rd # 2E
Dearborn, MI 48126-4124
Phone
(313) 740-1111
NPI assigned
Apr 9, 2014
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Physical Medicine & Rehabilitation Physician 208100000X 4301105966 MI Primary

Addresses

Primary practice location

4700 Greenfield Rd # 2E
Dearborn, MI 48126-4124

Mailing address

PO Box 1997
Dearborn, MI 48121-1997
Phone (313) 740-1111

Other practice location 1

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3189

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
I20180329000862 MI Practitioner - Physical Medicine and Rehabilitation 6800197468 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Providers Tek IncGroup PAC ID 2264792084, 13 clinicians
Riverview Neuromuscular Pain Center PLLCGroup PAC ID 9830595701, 4 clinicians
Riverview Lifeline Center PLLCGroup PAC ID 3870695232, 4 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

4700 Greenfield Rd
Suite 2E
Dearborn, MI 48126-4124
Phone (313) 740-1111

7633 E Jefferson Ave
Suite 170
Detroit, MI 48214-3731
Phone (313) 740-1111

7633 E Jefferson Ave
Suite 330
Detroit, MI 48214-3732
Phone (313) 823-5338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
87.2
Promoting interoperability
100
Improvement activities
40
Cost
86.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Better U Urgent Care PLLC CurrentSince Dec 1, 2024 Accepting new patients
Riverview Neuromuscular Pain Center PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2019 Accepting new patients
Riverview Lifeline Center PLLC CurrentSince Jan 24, 2022 Accepting new patients
Providers Tek Inc. Physical Medicine & Rehabilitation CurrentSince Jan 14, 2018 Accepting new patients
Ultimate Priority Plus Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Nu Care of Detroit LLC PastSince Sep 22, 2021 Accepting new patients
Nucare Therapy, LLC PastSince Oct 1, 2019 Accepting new patients
Prime Healthcare Services - Garden City LLC Past Accepting new patients
M&L Quality of Life PLC Physical Medicine & Rehabilitation PastSince Mar 1, 2020 Accepting new patients

Locations

2038 Reliable Pkwy
Chicago, IL 60686

4700 Greenfield Rd
#2E
Dearborn, MI 48126
Phone (313) 740-1111

4700 Greenfield Rd
Ste 2E
Dearborn, MI 48126
Phone (313) 740-1111

8188 N Telegraph Rd
Ste B
Dearborn Heights, MI 48127
Phone (313) 415-2500

8188 N Telegraph Rd
Dearborn Hts, MI 48127
Phone (313) 415-2500

7633 E Jefferson Ave
Ste 170
Detroit, MI 48214
Phone (313) 401-0256

7633 E Jefferson Ave
Ste 330
Detroit, MI 48214
Phone (313) 823-5338

10861 W 10 Mile Rd
Oak Park, MI 48237
Phone (248) 268-1135

2007 E 14 Mile Rd
Sterling Heights, MI 48310
Phone (313) 740-1111

Interoperability endpoints

  • Direct secure messaging: mbazzi2@direct.dmc.org
  • Direct secure messaging: mbazzi750036@direct.hfhs.org
  • Direct secure messaging: moussa.bazzi.p23@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 10

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 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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1326467143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211997",
            "telephone_number": "313-740-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD # 2E",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-740-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 W Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352624",
            "country_code": "US",
            "telephone_number": "313-966-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "MOUSSA",
        "middle_name": "SAID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301105966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.