Active NPI
Abdulkader Al-Azzaz, MD
- Neuroradiology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 4301068399
- 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, 2025
- 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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068399 | MI | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Diagnostic Imaging LLC | Current | Accepting new patients | |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Beaumont MRI Inc | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Blue Stone JV LLP | Current | Accepting new patients | |
| American Health Imaging of Dallas, LLC | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| American Health Imaging of Dallas LLC | Current | Accepting new patients | |
| American Health Imaging of Dallas LLC | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| American Health Imaging of Dallas LLC | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| American Health Imaging of Dallas LLC | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Shi Specialists LLC | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| American Health Imaging of Dallas LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1982595856
MI
-
dba American Health Imaging at Huebner
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1386117836
-
dba American Health Imaging at Lexington
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1457824104
-
dba American Health Imaging of San Antonio
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1609872621
-
dba American Health Imaging of New Braunfels Oak Run
- Radiology Clinic/Center
- New Braunfels, TX
- NPI 1780413427
-
dba American Health Imaging of Westover Hills
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1982129771
-
dba American Health Imaging of New Braunfels
- Radiology Clinic/Center
- New Braunfels, TX
- NPI 1346805777
-
dba American Health Imaging of Beaumont
- Radiology Clinic/Center
- Beaumont, TX
- NPI 1255449807
-
dba Touchstone Imaging Flower Mound
- Physiological Laboratory
- Flower Mound, TX
- NPI 1336500297
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
dba HCA Houston Healthcare North Cypress a Campus of HCA Houston Healthcar
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.