Mazen Alsaqa MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301101042 Issued in MI

Legal business name

MAZEN ALSAQA MD PLLC

Practice address

1988 Long Meadow Dr
Sterling Heights, MI 48314-3783

Phone

(248) 979-1249

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Mazen Alsaqa, M.D.NPI 1982968244

Title

Owner

Phone

(248) 979-1249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26158/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazen Alsaqa, M.D.

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1982968244
  Medicare reassignment NPD Authorized official
• Raya Kutaimy, MD

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1821484122

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1669919361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 LONG MEADOW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 LONG MEADOW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143783",
            "telephone_number": "248-979-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZEN ALSAQA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "ALSAQA",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-979-1249",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Matti, AGNP-C
• Amanda Matusik, PA-C
• Trevor Maylath-Bryant
• Benjamin Charles Mayo, M.D.
• Kyuhn Antonio Maze
• Syed Mohsin Mohsin Mazhar, MD
• Angela Rose Mazur, MA,LLP
• Amy Elizabeth Mazurek, MPT
• Monica Mazzara, PT, DPT
• Bridget K McArdle, D.O.

• Internal Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, 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 Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.