Mohamad Hassan Bazzi, M.D., F.A.C.S.
Individual provider Active NPI Plastic Surgery Physician · Canton, MI
NPI 1497781447 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497781447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 4301066396 (MI)
- Practice address
- 42680 Ford Rd
Canton, MI 48187-3338 - Phone
- (734) 844-5700
- Fax
- (734) 844-5703
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Wayne State University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
42680 Ford Rd
Canton, MI 48187-3338
Phone (734) 844-5700
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital - Taylor
- Beaumont Hospital - Dearborn
- Corewell Health Trenton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 55 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061017000021 | MI | Practitioner - Plastic and Reconstructive Surgery |
9133125073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301066396 | MI | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohamad Bazzi M D P C | Plastic Surgery | Current |
Accepting new patients |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients |
Locations
42680 Ford Rd
Canton, MI 48187
Phone (734) 658-8459
Interoperability endpoints
- mbazzi1116763@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301066396 | MI | Yes |
Addresses
Primary practice location
42680 Ford Rd
Canton, MI 48187-3338
Mailing address
42680 Ford Rd
Canton, MI 48187-3338
Phone (734) 844-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2408212402 | Other | MI | BCBS |
| 4566509 | Medicaid | MI |
Other providers in Canton, MI
- Christian Joshua Rocek Bayley
- Erica M Bazman
- Bazzi Properties, LLC
- Hussein Bazzi
- Marwa Bazzi
- Nader Bazzi
- Rima Bazzi
- Beacon Hospice of Michigan LP
- Octavia Beal
- Tabithia Beavers
All providers in Canton, MI · Plastic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.