Individual provider Active NPI

Hazem Nassif, MD

  • Infectious Disease Physician
  • Bloomfield Hills, MI
National Provider Identifier
1659362853
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301075452 Issued in MI
Practice address
43700 Woodward Ave Ste 103
Bloomfield Hills, MI 48302-5060
Phone
(248) 332-4629
Fax
(248) 322-5490
NPI assigned
Nov 4, 2005
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301075452 MI Primary

Addresses

Primary practice location

43700 Woodward Ave Ste 103
Bloomfield Hills, MI 48302-5060

Mailing address

43700 Woodward Ave Ste 103
Bloomfield Hills, MI 48302-5060
Phone (248) 332-4629

Other identifiers 1

IdentifierTypeStateIssuer
4406350442OtherBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000753 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 4486670551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Infectious Disease Associates PCGroup PAC ID 2860455268, 5 clinicians

Practice addresses (Care Compare)

43700 Woodward Ave
Suite 103
Bloomfield Hills, MI 48302-5060
Phone 24833246295

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.24 of 100Reported as individual
Quality
58.12
Improvement activities
0
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075452MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Infectious Disease Associates PC Infectious Disease CurrentSince May 1, 2005 Accepting new patients

Locations

43494 Woodward Ave
Ste 110
Bloomfield Hills, MI 48302
Phone (248) 332-4629

43700 Woodward Ave
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 332-4629

Interoperability endpoints

  • Direct secure messaging: hnassif@direct.dmc.org

Organizations & group practices 1

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 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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1659362853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025060",
            "telephone_number": "248-332-4629",
            "fax_number": "248-322-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025060",
            "telephone_number": "248-332-4629",
            "fax_number": "248-322-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "HAZEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301075452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4406350442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.