Individual provider Active NPI

Mazen Abdelhady, M.D.

  • Urology Physician
  • Detroit, MI
National Provider Identifier
1669771507
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301097475 Issued in MI
Practice address
6001 W Outer Dr Ste 350
Detroit, MI 48235-2686
Phone
(313) 966-9900
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301097475 MI Primary

Addresses

Primary practice location

6001 W Outer Dr Ste 350
Detroit, MI 48235-2686

Mailing address

6001 W Outer Dr Ste 350
Detroit, MI 48235-2686
Phone (313) 966-9900

Other practice location 1

4160 John R St
Suite 1021
Detroit, MI 48201-2020
Phone (313) 745-4123

Other practice location 2

4160 John R St
Suite 1021
Detroit, MI 48201-2020
Phone (313) 745-4123

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
I20111007000592 MI Practitioner - Urology 5991977340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

4160 John R
Suite 1021
Detroit, MI 48201-2017
Phone (313) 745-4001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Sep 30, 2011 Accepting new patients

Locations

23823 Ford Rd
Dearborn, MI 48128
Phone (313) 277-4146

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4160 John R St
Ste 1021
Detroit, MI 48201
Phone (313) 833-3320

6001 W Outer Dr
Ste 121
Detroit, MI 48235
Phone (313) 966-3222

6001 W Outer Dr
Ste 350
Detroit, MI 48235
Phone (313) 966-9333

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

Interoperability endpoints

  • Direct secure messaging: mabdelha@direct.dmc.org
  • Direct secure messaging: mazen.abdelhady.1@9704.direct.athenahealth.com

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 3

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669771507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 350",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352686",
            "telephone_number": "313-966-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 350",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352686",
            "telephone_number": "313-966-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R St",
            "address_2": "Suite 1021",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012020",
            "country_code": "US",
            "telephone_number": "313-745-4123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4160 John R St",
            "address_2": "Suite 1021",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012020",
            "country_code": "US",
            "telephone_number": "313-745-4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELHADY",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301097475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.