Mazen M Bazzi, D.O.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

5101016323 Issued in MI

Practice address

15370 Levan Road
Suite 1
Livonia, MI 48154-1903

Phone

(734) 462-8401

Fax

(734) 462-1410

NPI assigned

Sep 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Vascular Surgery

Education

Michigan State University College of Human Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vellore R Ramakrishnan M.D., P.C.Group PAC ID 3476682535, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
• Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
• Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbazzi45643@direct.trinity-health.org
• Direct secure messaging: mbazzi1116757@direct.hfhs.org
• Direct secure messaging: mbazzi@direct.dmc.org

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.

• Vellore R Ramakrishnan M.D, P.C.

  • Specialist
  • Livonia, MI
  • NPI 1871624072
  Medicare reassignment Care Compare group
• Access and Vascular Care

  • Nephrology Physician
  • Oak Park, MI
  • NPI 1831520212

  Vascular Surgery

  Medicare reassignment NPD
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Wayne, MI
  • NPI 1295785285
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Taylor, MI
  • NPI 1487605168
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1356590459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15370 LEVAN ROAD",
            "address_2": "SUITE 1",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541903",
            "telephone_number": "734-462-8401",
            "fax_number": "734-462-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15370 LEVAN ROAD",
            "address_2": "SUITE 1",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541903",
            "telephone_number": "734-462-8401",
            "fax_number": "734-462-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "MAZEN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101016323",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101016323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Bayne
• Bayview Optical Inc
• Timothy Bazil, DO
• Ali Bazzi, M.D.
• Allison Bazzi, FNP
• Mohamad Samir Bazzi
• Naif Bazzi
• Sabrina Bazzi
• Yasmeen Bazzi, FNP-BC
• Hassan Bazzy, DO

• Vascular Surgery Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.