NPIMap

Organization Active NPI

Senior Care Health Group PLLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1902794571
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SENIOR CARE HEALTH GROUP PLLC
Practice address
4100 Woodward Ave
Detroit, MI 48201-2173
Phone
(313) 974-6533
Fax
(313) 974-6713
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Hassan Bazzi, DONPI 1457507006
Title
Medical Director
Phone
(313) 974-6533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4100 Woodward Ave
Detroit, MI 48201-2173

Mailing address

4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717001327 MI Part B Supplier - Clinic/Group Practice 6800301854 Receives reassigned benefits from 19 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1902794571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012173",
            "telephone_number": "313-974-6533",
            "fax_number": "313-974-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012173",
            "telephone_number": "313-974-6533",
            "fax_number": "313-974-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE HEALTH GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-974-6533",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.