Individual provider Active NPI

Abdulkader Al-Azzaz, MD

  • Neuroradiology Physician
  • Southfield, MI
National Provider Identifier
1801079751
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
4301068399 Issued in MI
Practice address
24500 Northwestern Hwy
Suite 100
Southfield, MI 48075-2414
Phone
(248) 353-1280
Fax
(248) 353-6193
NPI assigned
Dec 14, 2007
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 4301068399 MI Primary

Addresses

Primary practice location

24500 Northwestern Hwy
Suite 100
Southfield, MI 48075-2414

Mailing address

24500 Northwestern Hwy
Suite 100
Southfield, MI 48075-2414
Phone (248) 353-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090114000331 MI Practitioner - Diagnostic Radiology 8426111691 Reassigns benefits to 3 organizations
I20260512001822 TX Practitioner - Diagnostic Radiology 8426111691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

22999 Hwy 59 N
Humble, TX 77339-4412
Phone (713) 461-3573

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (713) 461-3573

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068399MIMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Diagnostic Imaging LLC CurrentSince Apr 1, 2026 Accepting new patients
VHS Physicians of Michigan CurrentSince Sep 4, 2025 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 1, 2026 Accepting new patients
Beaumont MRI Inc CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Jul 29, 2026 Accepting new patients
Blue Stone JV LLP CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Dallas, LLC CurrentSince Apr 10, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 1, 2026 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Apr 10, 2026 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Apr 10, 2026 Accepting new patients
Btdi JV LLP CurrentSince Mar 16, 2026 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 10, 2026 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2026 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Apr 10, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 1, 2026 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Apr 10, 2026 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 10, 2026 Accepting new patients
Shi Specialists LLC CurrentSince Oct 5, 2025 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2026 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince May 29, 2026 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients
Dr L Reynolds Assoc PC Specialist Past Accepting new patients

Locations

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 2

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": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1801079751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 NORTHWESTERN HWY",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752414",
            "telephone_number": "248-353-1280",
            "fax_number": "248-353-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 NORTHWESTERN HWY",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752414",
            "telephone_number": "248-353-1280",
            "fax_number": "248-353-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-AZZAZ",
        "first_name": "ABDULKADER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MI",
            "license": "4301068399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.