Mohammed Nader Bazzy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704304697 Issued in MI

Practice address

25639 Ford Rd
Dearborn Heights, MI 48127-4817

Phone

(313) 277-3293

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sterling Medical Center PLLCGroup PAC ID 6002136868, 3 clinicians

Patient First Medical Clinic PLLCGroup PAC ID 2567753700, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbazzy1116781@direct.hfhs.org
• Direct secure messaging: mbazzy206603@direct.hfhs.org

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.

• Patient First Medical Clinic PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dearborn, MI
  • NPI 1720440464
  Medicare reassignment Care Compare group NPD
• Sterling Medical Center PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Sterling Heights, MI
  • NPI 1558752402
  Medicare reassignment Care Compare group NPD
• Blue Water Primary Care

  • Family Medicine Physician
  • Fort Gratiot, MI
  • NPI 1013896638
  Medicare reassignment NPD
• Oakland Medical Clinic PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Royal Oak, MI
  • NPI 1649914383
  Medicare reassignment NPD
• PFMC PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1437873726
  Medicare reassignment NPD
• Sterling Med Center Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Sterling HTS, MI
  • NPI 1639793433
  Medicare reassignment NPD
• Center Street Pharmacy PLLC

  • Community/Retail Pharmacy
  • Northville, MI
  • NPI 1043109259
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1760070072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25639 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274817",
            "telephone_number": "313-277-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25639 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274817",
            "telephone_number": "313-277-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZY",
        "first_name": "MOHAMMED",
        "middle_name": "NADER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER SPECIALTY LICENSE",
            "identifier": "4704304697",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malak Bazzi
• Malak Bazzi, PA
• Reem H Bazzi, DDS
• Sami Bazzi
• Abeer Bazzy, LMSW
• Judith A Bean, PHD
• Robert Beaser
• Marteese Beaumont
• Audreonna Beavers
• Bethany Marie Becker, LMT

• Family Nurse Practitioner in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.

Verify at the official NPI Registry.