Individual provider Active NPI

Mohamed Rezik, D.O

  • Critical Care Medicine (Internal Medicine) Physician
  • Detroit, MI
National Provider Identifier
1467792143
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
5101020356 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 926-2600
NPI assigned
Feb 18, 2013
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101020356 MI
Pulmonary Disease Physician 207RP1001X 5101020356 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5101020356 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 793-6140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180306001575 MI Practitioner - Internal MedicinePractitioner - Hospitalist 8123259306 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Sep 12, 2023 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Bronson Battle Creek Hospital Internal Medicine CurrentSince Sep 26, 2020 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Mar 25, 2018 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Pulmonary Disease CurrentSince Mar 6, 2020 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Mar 25, 2018 Accepting new patients
Bronson Methodist Hospital Pulmonary Disease CurrentSince Sep 26, 2020 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 6, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 26, 2020 Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Henry Ford Health System Pulmonary Disease CurrentSince Mar 1, 2020 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Mar 5, 2018 Accepting new patients
Henry Ford Macomb Hospital Corporation Pulmonary Disease CurrentSince Sep 12, 2023 Accepting new patients
Henry Ford Health System CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

363 Fremont St
Ste 100
Battle Creek, MI 49017
Phone (269) 245-5100

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#K17
Detroit, MI 48202
Phone (313) 916-2421

6525 2nd Ave
Detroit, MI 48202
Phone (313) 972-4140

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#M510
Kalamazoo, MI 49007
Phone (269) 341-7762

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-2300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: mrezik1032279@direct.unitypoint.org
  • Direct secure messaging: mrezik136260@direct.hfhs.org
  • Direct secure messaging: mrezik582064@direct.centracare.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1467792143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-793-6140",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-926-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZIK",
        "first_name": "MOHAMED",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020356",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101020356",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "5101020356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.