Individual provider Active NPI

Ali Bazzi, M.D.

  • Reproductive Endocrinology Physician
  • Livonia, MI
National Provider Identifier
1386094464
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
4301502371 Issued in MI
Practice address
14815 Farmington Rd.
Livonia, MI 48154
Phone
(734) 280-2600
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301502371 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301110238 MI
Reproductive Endocrinology Physician 207VE0102X 4301502371 MI Primary

Addresses

Primary practice location

14815 Farmington Rd.
Livonia, MI 48154

Mailing address

14815 Farmington Rd.
Livonia, MI 48154-5429
Phone (734) 280-2600

Other practice location 1

22151 Moross Rd Ste 311
Detroit, MI 48236-2197
Phone (313) 343-8306

Other practice location 2

26400 W 12 Mile Rd Ste 140
Southfield, MI 48034-1753
Phone (248) 263-3582

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720002203 MI Practitioner - Obstetrics/Gynecology 7517258544 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Reproductive Surgery Center PC Reproductive Endocrinology Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Oct 15, 2020 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Michigan Fertility Institute PC Reproductive Endocrinology CurrentSince Apr 6, 2025 Accepting new patients
Michigan Reproductive Labs PC Reproductive Endocrinology Current Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Oct 15, 2020 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jul 1, 2020 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Michigan Fertility Institute Troy PC Reproductive Endocrinology PastSince Apr 6, 2025 Accepting new patients

Locations

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

22151 Moross Rd
Ste 311
Grosse Pointe, MI 48236
Phone (313) 343-8306

14815 Farmington Rd
Livonia, MI 48154
Phone (734) 280-2600

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: abazzi1116751@direct.hfhs.org
  • Direct secure messaging: abazzi1224893@epic00.shdirect.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1386094464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 FARMINGTON RD.",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545429",
            "telephone_number": "734-280-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 FARMINGTON RD.",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-280-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22151 Moross Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362197",
            "country_code": "US",
            "telephone_number": "313-343-8306",
            "fax_number": "313-343-4065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341753",
            "country_code": "US",
            "telephone_number": "248-263-3582",
            "fax_number": "248-663-0186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301502371",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301110238",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301502371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.