Individual provider Active NPI

James Bazzi, M.D.

  • Internal Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1700265014
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1700265014 Issued in MI
Practice address
8550 N Silvery LN
Dearborn Heights, MI 48127
Phone
(313) 563-2288
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301107603 MI
Internal Medicine Physician 207R00000X 1700265014 MI Primary

Addresses

Primary practice location

8550 N Silvery LN
Dearborn Heights, MI 48127

Mailing address

8550 N Silvery LN Ste 200
Dearborn Heights, MI 48127-4511
Phone (313) 563-2288

Other practice location 1

8550 N Silvery Ln
Dearborn Heights, MI 48127
Phone (313) 563-2288

Other practice location 2

8550 N Silvery Ln
Dearborn Heights, MI 48127
Phone (313) 563-2288

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
I20180820002309 MI Practitioner - Internal Medicine 6002128394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenny Internal Medicine PLLCGroup PAC ID 5991127896, 6 clinicians

Practice addresses (Care Compare)

22361 W Village Dr
Dearborn, MI 48124-2227
Phone (313) 563-2288

3455 Livernois Rd
Troy, MI 48083-5063
Phone (248) 619-2020

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1700265014MIMDInternal Medicine Physician
4301107603MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Bazzi MD PC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Tenny Internal Medicine PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

22361 W Village Dr
Ste 102
Dearborn, MI 48124
Phone (313) 563-2288

22361 W Village Dr
Dearborn, MI 48124
Phone (313) 350-5859

701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

Interoperability endpoints

  • Direct secure messaging: jbazzi290748@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/20892/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1700265014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 N SILVERY LN STE 200",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274511",
            "telephone_number": "313-563-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 N SILVERY LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-563-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 N Silvery Ln",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "48127",
            "country_code": "US",
            "telephone_number": "313-563-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8550 N Silvery Ln",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "48127",
            "country_code": "US",
            "telephone_number": "313-563-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301107603",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "1700265014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.