NPIMap

Individual provider Active NPI

Samer Y Kazziha, MD

  • Cardiovascular Disease Physician
  • Sterling Heights, MI
National Provider Identifier
1548243835
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301060285 Issued in MI
Practice address
37771 Schoenherr Rd
Suite 101
Sterling Heights, MI 48312
Phone
(586) 698-1200
Fax
(586) 978-1323
NPI assigned
Nov 21, 2005
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301060285 MI Primary

Addresses

Primary practice location

37771 Schoenherr Rd
Suite 101
Sterling Heights, MI 48312

Mailing address

37771 Schoenherr Rd
Suite 101
Sterling Heights, MI 48312
Phone (586) 698-1200

Other identifiers 1

IdentifierTypeStateIssuer
3517303-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000709 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052394756 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants PCGroup PAC ID 9436132131, 10 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863

37771 Schoenherr Rd
Suite 101
Sterling Heights, MI 48312-2302
Phone (586) 698-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Sep 29, 2019 Accepting new patients
Rochester Internists, PLLC Cardiovascular Disease CurrentSince Apr 4, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Sep 29, 2019 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Jul 1, 2007 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Cardiovascular Disease CurrentSince Oct 2, 2013 Accepting new patients
Henry Ford Health Rochester Hospital Cardiovascular Disease Current Accepting new patients
American Cardiovascular Health, PLC Past Accepting new patients

Locations

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

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-4316

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

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630

11900 E 12 Mile Rd
Ste 300
Warren, MI 48093
Phone (586) 751-1515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/WwToQxBJNcC5xuy44-6eC2mX1ULkeGiM/
  • Direct secure messaging: samerkazziha@cardc.allscriptsdirect.net
  • Direct secure messaging: skazziha542835@direct.hfhs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1548243835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37771 SCHOENHERR RD",
            "address_2": "SUITE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48312",
            "telephone_number": "586-698-1200",
            "fax_number": "586-978-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37771 SCHOENHERR RD",
            "address_2": "SUITE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48312",
            "telephone_number": "586-698-1200",
            "fax_number": "586-978-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZZIHA",
        "first_name": "SAMER",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301060285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3517303-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.