NPIMap

Organization Active NPI

Providers Tek Inc.

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
National Provider Identifier
1699283283
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PROVIDERS TEK INC.
Practice address
4700 Greenfield Rd # 2E
Dearborn, MI 48126-4124
Phone
(734) 462-0340
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Moussa Bazzi, MDNPI 1326467143
Title
Owner
Phone
(313) 740-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 4301105966 MI
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4700 Greenfield Rd # 2E
Dearborn, MI 48126-4124

Mailing address

PO Box 1997
Dearborn, MI 48121-1997
Phone (313) 740-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180215001741 MI Part B Supplier - Clinic/Group Practice 2264792084 Receives reassigned benefits from 22 practitioners
Practice locations: Dearborn, MI; Livonia, MI
O20231211002759 MI DME Supplier - Multi-Specialty - Physician 2264792084 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4700 Greenfield Rd
#2E
Dearborn, MI 48126
Phone (313) 740-1111

32472 Schoolcraft Rd
Ste A
Livonia, MI 48150
Phone (734) 224-7000

2007 E 14 Mile Rd
Sterling Heights, MI 48310
Phone (313) 740-1111

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1699283283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211997",
            "telephone_number": "313-740-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD # 2E",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "734-462-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDERS TEK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "MOUSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-740-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301105966",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.