Individual provider Active NPI

Evan S Al-Bazi, DO

  • Emergency Medicine Physician
  • Monroe, MI
National Provider Identifier
1508386103
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101025310 Issued in MI
Practice address
718 N Macomb St
Monroe, MI 48162-7815
Phone
(734) 240-8400
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.015443 OH
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 5101025310 MI Primary

Addresses

Primary practice location

718 N Macomb St
Monroe, MI 48162-7815

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

44 Blaine Ave
Bedford, OH 44146-2709
Phone (240) 686-2300

Other names 1

  • Dr. Evan Sam Albazi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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
I20200611001282 MI Practitioner - Emergency Medicine 8325469711 Reassigns benefits to 4 organizations
I20240307003784 FL Practitioner - Emergency Medicine 8325469711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

6001 Webb Rd
Tampa Community Hospital Campus
Tampa, FL 33615-3241
Phone (813) 888-7060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Apr 25, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jan 20, 2024 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ascension Borgess Hospital CurrentSince Aug 14, 2020 Accepting new patients
Joint Township District Memorial Hospital CurrentSince Jul 22, 2023 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince Feb 21, 2023 Accepting new patients
Ascension Borgess Hospital CurrentSince Aug 14, 2020 Accepting new patients
Lorain Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Allen Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince Jun 2, 2021 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
JTDM Family Practice LLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

200 Corporate Blvd
Lafayette, LA 70508

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

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

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: ealbazi38127@ehrdirect.uhhospitals.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 5

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1508386103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "734-240-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Blaine Ave",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "OH",
            "postal_code": "441462709",
            "country_code": "US",
            "telephone_number": "240-686-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-BAZI",
        "first_name": "EVAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015443",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101025310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVAN",
            "last_name": "ALBAZI",
            "middle_name": "SAM",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.