Tiffany Lynn Bassily, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101019713 Issued in 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

Last updated

May 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbassily1116545@direct.hfhs.org

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.

• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236
  Medicare reassignment Care Compare group NPD
• Brian T. Gietzen, M. D., P. C.

  dba Legacy Medical Group

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1902023641
  Medicare reassignment NPD
• Henry Ford Semi Medical Group

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1376644922
  Medicare reassignment NPD
• Henry Ford Semi Medical Group

  • Family Medicine Physician
  • Warren, MI
  • NPI 1942317631

  Internal Medicine

  Medicare reassignment NPD
• Sparrow Ionia Hospital

  dba SMG Saranac

  • Rural Health Clinic/Center
  • Saranac, MI
  • NPI 1811380066
  Medicare reassignment NPD
• Premier Therapy Centers, Inc

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1962512202
  Care Compare group
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1265497226
  NPD
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1922063213
  NPD
• Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
  • NPI 1114133485
  NPD
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1669736153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N MILFORD RD STE 101",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811015",
            "telephone_number": "248-685-9780",
            "fax_number": "248-684-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N MILFORD RD STE 101",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811015",
            "telephone_number": "248-685-9780",
            "fax_number": "248-684-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Saranac",
            "state": "MI",
            "postal_code": "488815121",
            "country_code": "US",
            "telephone_number": "616-642-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSILY",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5315054297",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjana M Barad, MD
• Ryan H Barish, MD
• Alec Barstow
• Kristen Bartnicki, CTRS
• Basma Haddad PLLC (Verivue Counseling Center)
• Lilyann Baughn
• Leonard Marc Beigler
• Steven D Belen, DO
• Jacob Michael Bellamy, LLC
• Matthew Berg

• Internal Medicine Physician in Milford, MI
• Providers in Milford, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.