Individual provider Active NPI

Zane Taysir Hammoud, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Detroit, MI
National Provider Identifier
1750496154
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301091678 Issued in MI
Practice address
2799 W Grand Blvd
Cardiothoracic Surgery K-14
Detroit, MI 48202-2608
Phone
(313) 916-2698
Fax
(313) 916-2687
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301091678 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Cardiothoracic Surgery K-14
Detroit, MI 48202-2608

Mailing address

16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone (248) 384-9260

Other practice location 1

16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone (248) 384-9260

Other identifiers 1

IdentifierTypeStateIssuer
200309410MedicaidIN

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
I20081111000472 MI Practitioner - Thoracic Surgery 9830145903 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health Corporation of Southeastern Michigan CurrentSince May 1, 2022 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Feb 25, 2021 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Feb 25, 2021 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince May 1, 2022 Accepting new patients
Cardiothoracic Surgeons Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

19229 Mack Ave
Ste 23
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

16001 W 9 Mile Rd
#3
Southfield, MI 48075
Phone (248) 384-9260

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

Interoperability endpoints

  • Direct secure messaging: zhammoud16996@direct.hfhs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1750496154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD # 3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-384-9260",
            "fax_number": "248-849-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "CARDIOTHORACIC SURGERY K-14",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2698",
            "fax_number": "313-916-2687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16001 W 9 Mile Rd # 3",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-384-9260",
            "fax_number": "248-849-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "ZANE",
        "middle_name": "TAYSIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301091678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200309410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.