Individual provider Active NPI

Fatme Bazzi

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1669243135
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704312502 Issued in MI
Practice address
5433 Jonathon St
Dearborn, MI 48126-3315
Phone
(313) 778-8196
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704312502 MI Primary

Addresses

Primary practice location

5433 Jonathon St
Dearborn, MI 48126-3315

Mailing address

5433 Jonathon St
Dearborn, MI 48126-3315
Phone (313) 778-8196

Other names 1

  • Fatme Bazzi Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003952 MI Practitioner - Nurse Practitioner 2860830882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ali Hazimeh PLLCGroup PAC ID 2062846876, 7 clinicians

Practice addresses (Care Compare)

7542 Wyoming St
Dearborn, MI 48126-1690
Phone (313) 676-2149

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704312502MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hazimeh Primary Care PLLC CurrentSince Dec 1, 2025 Accepting new patients
Ali Hazimeh PLLC CurrentSince Mar 5, 2024 Accepting new patients

Locations

7534 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

7542 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

Interoperability endpoints

  • Direct secure messaging: fatme.bazzi.1@32709.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1669243135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 JONATHON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263315",
            "telephone_number": "313-778-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 JONATHON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263315",
            "telephone_number": "313-778-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "FATME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATME",
            "last_name": "BAZZI",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.