Active NPI
Detroit Medical Consultants PC
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1609229848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101016436
- Legal business name
- DETROIT MEDICAL CONSULTANTS PC
- Practice address
- 4100 Woodward Ave
Detroit, MI 48201-2173 - Phone
- (313) 974-6533
- Fax
- (313) 974-6713
- NPI assigned
- Jul 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan A. Bazzi, DO
- Title
- Owner
- Phone
- (313) 231-4716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101016436 | MI | Primary |
Addresses
Primary practice location
4100 Woodward Ave
Detroit, MI 48201-2173
Mailing address
4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161230000719 | MI | Part B Supplier - Clinic/Group Practice | 3678854866 |
Receives reassigned benefits from 31 practitioners Practice locations: Detroit, MI |
National Provider Directory
National Provider DirectoryLocations
17187 Schaefer Hwy
Detroit, MI 48235
Phone (313) 342-9255
3131 McKinney Ave
Ste 602
Dallas, TX 75204
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Clinton Township, MI
- NPI 1164059796
Internal Medicine, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524528000000",
"number": "1609229848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012173",
"telephone_number": "313-974-6533",
"fax_number": "313-974-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012173",
"telephone_number": "313-974-6533",
"fax_number": "313-974-6713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT MEDICAL CONSULTANTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2018-04-24",
"status": "A",
"authorized_official_last_name": "BAZZI",
"authorized_official_first_name": "HASSAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-231-4716",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101016436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Detroit Medical Center Detroit Receiving Hospital
- Detroit Medical Center, Wayne State University, Detroit, Mi
- Detroit Medical Center/Sinai Grace
- Detroit Medical Centre
- Detroit Medical Clinic PC
- Detroit Medical Group, PLLC
- Detroit Medical Pharmacy Inc
- Detroit Medical Service PLC
- Detroit Meditation & Yoga
- Detroit Metro Medical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.