Active NPI
Reza Dabir, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301055037
- Practice address
- 22060 Beech St Ste 300
Dearborn, MI 48124-2847 - Phone
- (313) 228-0230
- Fax
- (313) 228-0231
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301055037 | MI | Primary |
Addresses
Primary practice location
22060 Beech St Ste 300
Dearborn, MI 48124-2847
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4606140 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rdabir120175@direct.beaumont.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Genesys Pkwy
Suite 3452
Grand Blanc, MI 48439-8065
Phone (248) 849-2600
1400 Genesys Pkwy
B136
Grand Blanc, MI 48439-8068
Phone (810) 606-7629
Hospital & facility affiliations
- Ascension Genesys Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Henry Ford Health Genesys Hospital | Past | Accepting new patients |
Locations
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000
1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
16001 W 9 Mile Rd
#3
Southfield, MI 48075
Phone (248) 384-9260
11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080
Organizations & group practices 5
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1750351383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1863",
"fax_number": "047-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22060 BEECH ST STE 300",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242847",
"telephone_number": "313-228-0230",
"fax_number": "313-228-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABIR",
"first_name": "REZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301055037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4606140",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rdabir120175@direct.beaumont.edu",
"affiliation": "N",
"address_1": "22060 Beech St Ste 300",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481242847",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 22, 2020; 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.
- 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.