Ahmed E. Ezz, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

4301060864 Issued in MI

Practice address

28595 Orchard Lake Rd
#110
Farmington Hills, MI 48334-2977

Phone

(248) 553-0606

Fax

(248) 553-7674

NPI assigned

Oct 3, 2005

Last updated

Jul 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Radiation Oncology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Oncologic Associates of Michigan PCGroup PAC ID 3577558980, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahmed.ezz@directaddress.net

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.

• American Oncologic Associates of Michigan, PC

  dba MHP Radiation Oncology Institute

  • Radiation Oncology Physician
  • Madison Heights, MI
  • NPI 1104890102
  Medicare reassignment Care Compare group NPD
• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Urology Physician
  • Saint Clair Shores, MI
  • NPI 1427027416

  Radiation Oncology

  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Michigan Institute of Urology PC

  dba Michigan Institute of Urology

  • Durable Medical Equipment & Medical Supplies
  • Utica, MI
  • NPI 1922999051
  NPD
• Miro-Clarkston

  dba American Oncologic American Oncologic Associates of Michigan, PC/MIRO

  • Radiation Oncology Physician
  • Clarkston, MI
  • NPI 1134194509
  NPD (past)
• Miro-Madison Heights

  dba American Oncologic Associates of Michigan, PC

  • Radiation Oncology Physician
  • Madison Heights, MI
  • NPI 1336114735
  NPD (past)
• X-Ray Treatment Center

  dba X-Ray Treatment Center, PC/MCCI

  • Radiation Oncology Physician
  • Eastpointe, MI
  • NPI 1346216728
  NPD (past)
• X-Ray Treatment Center, P.C.

  dba Michigan Comprehensive Cancer Institute (MCCI)

  • Surgery Physician
  • Macomb, MI
  • NPI 1164497616

  Radiation Oncology

  NPD (past)

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

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1407843774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "PAYER CONTRACTING & RELATIONS DEPT.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD",
            "address_2": "#110",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342977",
            "telephone_number": "248-553-0606",
            "fax_number": "248-553-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZ",
        "first_name": "AHMED",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301060864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300041558",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057642",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HMO PROV. #",
            "identifier": "101715",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4711299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huggins Eyma
• Darnisha Ezell
• Daushay Monta Ezell, LPN
• Tierra Ezell
• Chinweoke Ezeokoli
• F.H Home Care ,Inc
• Adelaida Fabian Sanchez
• Connor Fabiano
• Keisha Fabin
• Crystal Fabits

• Radiation Oncology Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.