NPIMap

Individual provider Active NPI

Mazin Mohi Deen, M.D.

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1740625508
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301103933 Issued in MI
Practice address
18245 E 10 Mile Rd
Suite 120
Roseville, MI 48066-5807
Phone
(586) 774-8710
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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 4301103933 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

18245 E 10 Mile Rd
Suite 120
Roseville, MI 48066-5807

Mailing address

17633 White Pine CT
Northville, MI 48168-4358
Phone (810) 626-8294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206001827 MI Practitioner - Internal Medicine 0840592234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabah Internal Medicine PLLCGroup PAC ID 3274816814, 4 clinicians

Practice addresses (Care Compare)

23600 Harper Ave
Suite 103
Saint Clair Shores, MI 48080-1445
Phone (586) 585-2570

26001 Jefferson Ave
Saint Clair Shores, MI 48081-2309
Phone (586) 779-5000

Hospital & facility affiliations

  • Amber Hospice Care, LLC Hospice, Novi, MI, CCN 231691
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Select Specialty Hospital-Macomb County Long-term care hospital, Mount Clemens, MI, CCN 232023
  • ShorePointe Nursing Center Nursing home, St. Clair Shores, MI, CCN 235443

Merit-based Incentive Payment System (MIPS)

Final score
74.35 of 100Reported as individual
Quality
47.6
Improvement activities
40
Cost
51.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103933MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sabah Internal Medicine PLLC Internal Medicine CurrentSince Jan 29, 2017 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Lakeview Medical Center PC Internal Medicine Past Accepting new patients
WBH NCC #1, LLC Past Accepting new patients

Locations

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

18245 E 10 Mile Rd
Ste 120
Roseville, MI 48066
Phone (586) 265-2680

23600 Harper Ave
Ste 103
St Clr Shores, MI 48080
Phone (586) 585-2570

23600 Harper Ave
St Clr Shores, MI 48080
Phone (586) 200-5606

Interoperability endpoints

  • Direct secure messaging: mdeen1230867@epic00.shdirect.org

Organizations & group practices 4

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 6

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1740625508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17633 WHITE PINE CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684358",
            "telephone_number": "810-626-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 E 10 MILE RD",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665807",
            "telephone_number": "586-774-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "MAZIN",
        "middle_name": "MOHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103933",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.