Individual provider Active NPI

Behzod Rostam, M.D.

  • Family Medicine Physician
  • Bad Axe, MI
National Provider Identifier
1902125677
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301096079 Issued in MI
Practice address
262 S Port Crescent St
Bad Axe, MI 48413-1328
Phone
(989) 493-9327
Fax
(989) 623-0172
NPI assigned
May 20, 2010
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301096079 MI Primary

Addresses

Primary practice location

262 S Port Crescent St
Bad Axe, MI 48413-1328

Mailing address

262 S Port Crescent St
Bad Axe, MI 48413-1328
Phone (989) 493-9327

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130924000336 MI Practitioner - Family Practice 5597909085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

262 S Port Crescent St
Bad Axe, MI 48413-1328
Phone (989) 493-9327

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions17
Removal of nail tissue124
Removal or shaving of skin growth126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rostam Adult and Pediatric Medicine PLLC Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Midmichigan Urgent Care Family Medicine Past Accepting new patients
Care Management Solutions LLC PastSince May 1, 2019 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1080 S Van Dyke Rd
Ste A
Bad Axe, MI 48413
Phone (989) 493-9327

262 S Port Crescent St
Bad Axe, MI 48413
Phone (989) 493-9327

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1902125677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 S PORT CRESCENT ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131328",
            "telephone_number": "989-493-9327",
            "fax_number": "989-893-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 S PORT CRESCENT ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131328",
            "telephone_number": "989-493-9327",
            "fax_number": "989-623-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAM",
        "first_name": "BEHZOD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301096079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

Verify at the official NPI Registry.