Active NPI
Bassam Matti, MD
- Family Medicine Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301081662
- Practice address
- 1273 Burns Dr
Troy, MI 48083-6317 - Phone
- (248) 761-7703
- Fax
- (586) 601-2560
- NPI assigned
- May 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301081662 | MI | Primary |
Addresses
Primary practice location
1273 Burns Dr
Troy, MI 48083-6317
Mailing address
1273 Burns Dr
Troy, MI 48083-6317
Phone (248) 761-7703
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060809000224 | MI | Practitioner - Family Practice | 4385647544 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1273 Burns Dr
Troy, MI 48083-6317
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 343-1000
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Beaumont Hospital - Grosse Pointe
- The Orchards at Harper Woods
- The Orchards at Roseville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301081662 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bassam Matti MD PLC | Family Medicine | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Family Medicine | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| Roseville Mi Opco LLC | Past | Accepting new patients | |
| Ccla 9 LLC | Past | Accepting new patients | |
| Harper Woods Mi Opco LLC | Past | Accepting new patients |
Locations
468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000
3601 W 13 Mile Rd
Royal Oak, MI 48073
26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000
26901 Beaumont Blvd
Southfield, MI 48033
Phone (947) 522-1867
30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- bmatti1140555@direct.hfhs.org
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.
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1851691844
-
- Skilled Nursing Facility
- Harper Woods, MI
- NPI 1083386692
-
- Skilled Nursing Facility
- Roseville, MI
- NPI 1780356303
Hospital & facility affiliations 5
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": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1376593079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1273 BURNS DR",
"city": "TROY",
"state": "MI",
"postal_code": "480836317",
"telephone_number": "248-761-7703",
"fax_number": "586-601-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 BURNS DR",
"city": "TROY",
"state": "MI",
"postal_code": "480836317",
"telephone_number": "248-761-7703",
"fax_number": "586-601-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTI",
"first_name": "BASSAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301081662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.