NPIMap

Organization Active NPI

Riverview Neuromuscular Pain Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
National Provider Identifier
1447827894
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RIVERVIEW NEUROMUSCULAR PAIN CENTER PLLC
Practice address
7633 E Jefferson Ave Ste 170
Detroit, MI 48214-3731
Phone
(313) 740-1111
Fax
(313) 672-6241
NPI assigned
Jun 4, 2021
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Moussa Bazzi, MDNPI 1326467143
Title
President
Phone
(313) 241-2491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

7633 E Jefferson Ave Ste 170
Detroit, MI 48214-3731

Mailing address

7633 E Jefferson Ave Ste 170
Detroit, MI 48214-3731
Phone (313) 740-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210901002978 MI Part B Supplier - Clinic/Group Practice 9830595701 Receives reassigned benefits from 15 practitioners
Practice locations: Livonia, MI; Riverview, MI; Detroit, MI
O20230206002521 MI DME Supplier - Physician - Physical and Rehabilitation 9830595701 Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

7633 E Jefferson Ave
Ste 170
Detroit, MI 48214
Phone (313) 401-0256

32472 Schoolcraft Rd
Ste A
Livonia, MI 48150
Phone (734) 224-7000

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1447827894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 170",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-740-1111",
            "fax_number": "313-672-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 170",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-740-1111",
            "fax_number": "313-672-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW NEUROMUSCULAR PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "MOUSSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-241-2491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.