Organization Active NPI

Basmit Medical Center PC.

  • Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1619246428
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301082048 Issued in MI
Legal business name
BASMIT MEDICAL CENTER PC.
Practice address
34764 Dequindre Rd
Sterling Heights, MI 48310-5279
Phone
(586) 883-6787
Fax
(586) 883-6103
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Bnan A Razoky, M.D.NPI 1942317789
Title
Owner
Phone
(586) 883-6787

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
Clinic/Center 261Q00000X 4301082048 MI Primary

Addresses

Primary practice location

34764 Dequindre Rd
Sterling Heights, MI 48310-5279

Mailing address

34764 Dequindre Rd
Sterling Heights, MI 48310-5279
Phone (586) 883-6787

Other identifiers 1

IdentifierTypeStateIssuer
1942317789OtherMINPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120303000003 MI Part B Supplier - Clinic/Group Practice 9739348111 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

35614 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 883-6787

34764 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 264-6770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1619246428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34764 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105279",
            "telephone_number": "586-883-6787",
            "fax_number": "586-883-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34764 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105279",
            "telephone_number": "586-883-6787",
            "fax_number": "586-883-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASMIT MEDICAL CENTER PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "RAZOKY",
        "authorized_official_first_name": "BNAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-883-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301082048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942317789",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.