Individual provider Active NPI

Mazen Sabbaq, M.D.

  • Pulmonary Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1457318545
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301075366 Issued in MI
Practice address
75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821
Phone
(810) 667-1883
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301075366 MI Primary

Addresses

Primary practice location

75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821

Mailing address

75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821
Phone (248) 651-6430

Other identifiers 1

IdentifierTypeStateIssuer
4887882MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060711000331 MI Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5496768657 Reassigns benefits to 3 organizations
I20221201001997 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496768657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Washington Sleep Center PLCGroup PAC ID 0143486134, 3 clinicians

Practice addresses (Care Compare)

1083 Suncrest Dr
Suite B
Lapeer, MI 48446-4421
Phone (810) 667-3111

1201 S Dr
Suite 352
Mt Pleasant, MI 48858-3255
Phone (989) 772-8050

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

75 Barclay Cir
Rochester Hills, MI 48307-5821
Phone (248) 651-6430

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
Washington Sleep Center, PLC CurrentSince May 1, 2012 Accepting new patients
Pulmonary Allergy Critical Care & Sleep Associates PLC Pulmonary Disease CurrentSince Mar 1, 2012 Accepting new patients
McLaren Central Michigan CurrentSince Aug 6, 2015 Accepting new patients
Mazen Sabbaq M.D. P.C. CurrentSince Jan 25, 2006 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Aug 6, 2015 Accepting new patients
McLaren Central Michigan Current Accepting new patients
T J Samson Community Hospital CurrentSince Nov 14, 2022 Accepting new patients
Kalamazoo Emergency Associates, PLC Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
West Bloomfield Prompt Care-PLLC PastSince Oct 6, 2012 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

Locations

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

1083 Suncrest Dr
Ste B
Lapeer, MI 48446
Phone (810) 245-5390

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

1201 South Dr
Ste 352
Mt Pleasant, MI 48858
Phone (989) 772-6880

1201 South Dr
Ste 341
Mt Pleasant, MI 48858
Phone (800) 523-1014

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

950 W Avon Rd
Ste A2
Rochester Hills, MI 48307
Phone (248) 651-5353

75 Barclay Cir
Ste 205
Rochester Hills, MI 48307
Phone (248) 651-6430

75 Barclay Cir
Ste 220
Rochester Hills, MI 48307
Phone (248) 651-6430

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

57850 Van Dyke Rd
Ste 500
Washington, MI 48094
Phone (586) 207-1247

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bc71e42e-6e3a-4ef9-a8b0-54cac01ec656/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1457318545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "810-667-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAQ",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301075366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4887882",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.