Organization Active NPI

Reliant Physician Services PC

  • Internal Medicine Physician
  • Canton, MI
National Provider Identifier
1447910906
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RELIANT PHYSICIAN SERVICES PC
Practice address
5880 N Canton Center Rd Ste 412
Canton, MI 48187-2686
Phone
(734) 368-3159
Fax
(734) 667-3492
NPI assigned
Dec 26, 2021
Last updated
Dec 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Authorized official

Name
Dr. Fauziya Hassan, MDNPI 1407971583
Title
President
Phone
(734) 368-3159

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5880 N Canton Center Rd Ste 412
Canton, MI 48187-2686

Mailing address

7286 Brentwood CT
Ypsilanti, MI 48198-8701
Phone (734) 368-3159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240812001955 MI Part B Supplier - Clinic/Group Practice 2567900368 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2329001Reliant Physician Services PC5880 N Canton Center Road Suite 412, Canton, MI 48187Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640476800000",
    "number": "1447910906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7286 BRENTWOOD CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481988701",
            "telephone_number": "734-368-3159",
            "fax_number": "734-667-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 N CANTON CENTER RD STE 412",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872686",
            "telephone_number": "734-368-3159",
            "fax_number": "734-667-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FAUZIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-368-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.