Timothy Bazil, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

5101028077 Issued in MI

Practice address

34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093

Phone

(248) 900-1555

Fax

(248) 516-5017

NPI assigned

Jun 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ayman Tarabishy MD PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Livonia, MI
  • NPI 1548624984
  Medicare reassignment NPD
• Ayman Tarabishy MD PLLC

  • Durable Medical Equipment & Medical Supplies
  • Clinton Township, MI
  • NPI 1407586134
  NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1760040034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30148",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152053",
            "telephone_number": "248-900-1555",
            "fax_number": "248-516-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34020 7 MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523093",
            "telephone_number": "248-900-1555",
            "fax_number": "248-516-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42645 Garfield Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480385022",
            "country_code": "US",
            "telephone_number": "586-286-7246",
            "fax_number": "586-329-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZIL",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "5101028077",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5151013516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760040034",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisia Lea Baumgartner, TLLP
• Renee L Bayer, MD
• Chelsey Baylor
• Allyson Bayne
• Bayview Optical Inc
• Ali Bazzi, M.D.
• Allison Bazzi, FNP
• Mazen M Bazzi, D.O.
• Mohamad Samir Bazzi
• Naif Bazzi

• Pain Medicine (Anesthesiology) Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.