Tiffany Lynn Bassily, D.O.
Individual provider Active NPI Internal Medicine Physician · Milford, MI
NPI 1669736153 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1669736153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5101019713 (MI)
- Practice address
- 1435 N Milford Rd Ste 101
Milford, MI 48381-1015 - Phone
- (248) 685-9780
- Fax
- (248) 684-2251
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health Providence Hospital
Premier Therapy Centers, Inc
Practice addresses (Care Compare)
1435 N Milford Rd
101 Providence Oakland Internal Medicine
Milford, MI 48381-1015
Phone (248) 685-9780
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729010342 | MI | Practitioner - Internal Medicine | 2466766803 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019713 | MI | MD | Internal Medicine Physician |
| 5315054297 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Semi Medical Group | Current |
Accepting new patients | |
| Henry Ford Health Providence Hospital | Current |
Accepting new patients | |
| Henry Ford Semi Medical Group | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Semi Medical Group | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Brian T. Gietzen, M. D., P. C. | Internal Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
30055 Northwestern Hwy
Ste 260
Farmington Hills, MI 48334
Phone (248) 737-4600
1225 S Latson Rd
Ste 260
Howell, MI 48843
Phone (517) 541-4444
3333 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 629-5581
1435 N Milford Rd
Ste 101
Milford, MI 48381
Phone (248) 442-9190
26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790
1460 Walton Blvd
Ste 200
Rochester Hills, MI 48309
Phone (248) 650-1800
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
Interoperability endpoints
- tbassily1116545@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5315054297 | MI | |
| Internal Medicine Physician | 207R00000X | 5101019713 | MI | Yes |
Addresses
Primary practice location
1435 N Milford Rd Ste 101
Milford, MI 48381-1015
Mailing address
1435 N Milford Rd Ste 101
Milford, MI 48381-1015
Phone (248) 685-9780
Other practice location 1
107 N Bridge St
Saranac, MI 48881-5121
Phone (616) 642-9408
Other providers in Milford, MI
- Anjana M Barad
- Ryan H Barish
- Alec Barstow
- Kristen Bartnicki
- Basma Haddad PLLC
- Lilyann Baughn
- Leonard Marc Beigler
- Steven D Belen
- Jacob Michael Bellamy
- Matthew Berg
All providers in Milford, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.