Hassan Bazzy, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101027874 Issued in MI

Practice address

33215 7 Mile Rd
Livonia, MI 48152-1365

Phone

(248) 478-3200

NPI assigned

Apr 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Interoperability endpoints

• Direct secure messaging: hbazzy395153@direct.hfhs.org
• Direct secure messaging: hbazzy3592711@direct.trinity-health.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.

• Brentwood Pediatrics PC

  • Pediatrics Physician
  • Livonia, MI
  • NPI 1013188648
  NPD (past)
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  NPD (past)

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1821677311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33215 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521365",
            "telephone_number": "248-478-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33215 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521365",
            "telephone_number": "248-478-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZY",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101027874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazen M Bazzi, D.O.
• Mohamad Samir Bazzi
• Naif Bazzi
• Sabrina Bazzi
• Yasmeen Bazzi, FNP-BC
• Austin Be, DDS, MD
• Beacon Psychological Services
• Bonnie L Beal
• Samantha Rose Beaman, RDN
• Leasia Bean

• Pediatrics Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.