Hamtramck Medical Group, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301063463 Issued in MI

Legal business name

HAMTRAMCK MEDICAL GROUP, PC

Practice address

9222 Joseph Campau St
Hamtramck, MI 48212-3731

Phone

(313) 872-5555

Fax

(313) 872-5009

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hazem Samir-Moez, MDNPI 1992734214

Title

Medical Director

Phone

(313) 410-2010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Hazem Samir-Moez, MD

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1992734214
  Medicare reassignment Authorized official
• Nagla Mustafa, FNP-C

  • Nurse Practitioner
  • Hamtramck, MI
  • NPI 1962235358
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467517862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 KENNEDY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271669",
            "telephone_number": "313-410-2010",
            "fax_number": "313-561-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123731",
            "telephone_number": "313-872-5555",
            "fax_number": "313-872-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMIR-MOEZ",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-410-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4636926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamtramck Durable Medical Equipment
• Hamtramck Durable Medical Equipment
• Hamtramck Family Health Care PC
• Hamtramck General Medical Practice PLLC
• Hamtramck Medical Equipment Supply Inc
• Hamtramck Medical Pharmacy LLC (Pharmor Pharmacy-Hamtramck)
• Hamtramck Pediatrics
• Hamtramck PT & Rehab Inc.
• Hamtramck Walk-in Clinic
• Almedina Hantalasevic

• Internal Medicine Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.