NPIMap

Organization Active NPI

Detroit Medical Consultants PC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1609229848
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101016436 Issued in MI
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
Last updated
Apr 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Hassan A. Bazzi, DONPI 1457507006
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20161230000719 MI Part B Supplier - Clinic/Group Practice 3678854866 Receives reassigned benefits from 31 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

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, and the practitioner matching its NPPES authorized official.

View all 31

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

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.

Verify at the official NPI Registry.