Mazen Samir Harake, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35123751 Issued in OH

Practice address

1050 Wilshire Dr Ste 100
Troy, MI 48084-1526

Phone

(773) 230-5000

Fax

(248) 825-3214

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North East Ohio Group Practice LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1063575462
  Medicare reassignment NPD
• Robinson Health System, Inc.

  dba Robinson Memorial Hospital

  • Cardiovascular Disease Physician
  • Ravenna, OH
  • NPI 1083045504
  Medicare reassignment NPD
• Robinson Health System Inc

  dba University Hospitals Portage Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Ravenna, OH
  • NPI 1922597533
  NPD
• Robinson Health System, Inc.

  dba University Hospitals Portage Medical Center

  • General Practice Physician
  • Ravenna, OH
  • NPI 1386075141
  NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1699986760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WILSHIRE DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841526",
            "telephone_number": "773-230-5000",
            "fax_number": "248-825-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WILSHIRE DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841526",
            "telephone_number": "773-230-5000",
            "fax_number": "248-825-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAKE",
        "first_name": "MAZEN",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35123751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majda A Hannish, MD
• Amaryllis Hannosh, RBT
• Jan Hansmann, M.D.
• Eric C Hanson, MD
• Ziaul Haq
• Lynne Barker Harbke, MA
• Harborcove Healthcare LLC
• Chantia Bobo Harden, PA-C
• Amaris Hardy
• Claire Harig, CMT

• Plastic Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.