NPIMap

Individual provider Active NPI

Hussein Ali Mazloum, M.D.

  • Surgery Physician
  • Flint, MI
National Provider Identifier
1356368781
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301063987 Issued in MI
Practice address
1020 Charter Dr
Suite a
Flint, MI 48532-3584
Phone
(810) 720-0368
Fax
(810) 720-0371
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

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 4301063987 MI Primary
Trauma Surgery Physician 2086S0127X 4301063987 MI

Addresses

Primary practice location

1020 Charter Dr
Suite a
Flint, MI 48532-3584

Mailing address

8382 Holly Rd
Ste 2
Grand Blanc, MI 48439-1973
Phone (810) 720-0368

Other identifiers 2

IdentifierTypeStateIssuer
0202505992OtherMIBCBS
104356904MedicaidMI

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
I20051006000141 MI Practitioner - General Surgery 1557386893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25000 Hall Rd
Suite 3
Woodhaven, MI 48183-5112
Phone (734) 672-7758

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.38 of 100Reported as individual
Quality
87.18
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063987MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Jan 20, 2010 Accepting new patients
Hurley Medical Center CurrentSince Jan 20, 2010 Accepting new patients
Beecher Surgical Associates, PLLC Surgery Past Accepting new patients
Flint Surgical Specialists, P.C. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Interoperability endpoints

  • Direct secure messaging: hmazloum552313@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEHAD
  • Direct secure messaging: hmazloum1140639@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAAADA/Endpoint/JAAADA

Organizations & group practices 7

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 6

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1356368781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 HOLLY RD",
            "address_2": "STE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391973",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZLOUM",
        "first_name": "HUSSEIN",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301063987",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MI",
            "license": "4301063987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0202505992",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104356904",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.