NPIMap

Organization Active NPI

Michigan Outpatient Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Fraser, MI
National Provider Identifier
1700980406
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
506810 Issued in MI
Legal business name
MICHIGAN OUTPATIENT SURGERY CENTER INC
Practice address
33080 Utica Rd
Fraser, MI 48026-2038
Phone
(586) 296-7250
Fax
(586) 296-0276
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Mahdi M Basha, DO
Title
Director
Phone
(586) 296-7250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 506810 MI Primary

Addresses

Primary practice location

33080 Utica Rd
Fraser, MI 48026-2038

Mailing address

PO Box 26010
Fraser, MI 48026-6010
Phone (586) 296-7250

Other identifiers 3

IdentifierTypeStateIssuer
F0529OtherMIBLUE CROSS
OEO7001OtherMIBCBS SUPPLEMENTS
40067OtherMIBLUE CROSS MEDICARE PLUS BLUE

Other names 1

  • Michigan Outpatient Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000984 MI Part B Supplier - Ambulatory Surgical Center 4587645049 Practice locations: Fraser, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Michigan Outpatient Surgery Center IncCCN 23C0001003
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Norbert P Czajkowski MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1700980406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26010",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480266010",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN OUTPATIENT SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BASHA",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-296-7250",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "F0529",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SUPPLEMENTS",
            "identifier": "OEO7001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MEDICARE PLUS BLUE",
            "identifier": "40067",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.