Innocent Egwuatu Agbassi, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

4301075373 Issued in MI

Practice address

15357 Farmington Rd
Suite 2
Livonia, MI 48154-2847

Phone

(734) 266-3565

Fax

(734) 266-3566

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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 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

Specialty

Pediatric MedicineAlso: General Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• I & L Professional Medical Services

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1760409593
  Medicare reassignment Authorized official
• Goldinno

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1336325240
  NPD (past) Authorized official
• Goldinno Healthcare Corp

  • Legal Medicine
  • Waterford, MI
  • NPI 1760426100
  NPD (past) Authorized official
• Greater Detroit Community Care

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
  • NPI 1770520553
  NPD (past)
• Quality Medical Healthcare Office Management,Inc.

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1881648905

  Adult Medicine

  NPD (past)
• Six Family Health Center, P.C.

  • Clinic/Center
  • Highland Park, MI
  • NPI 1871506253
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1922053636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15357 FARMINGTON RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542847",
            "telephone_number": "734-266-3565",
            "fax_number": "734-266-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15357 FARMINGTON RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542847",
            "telephone_number": "734-266-3565",
            "fax_number": "734-266-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBASSI",
        "first_name": "INNOCENT",
        "middle_name": "EGWUATU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "4301075373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fazila Afzal, M.D.
• Mohammad Aun Afzal, AGACNP-BC
• Agape Acupuncture
• Agape'S Tree House Educational & Behavioral Service
• Gayle Lisa Agar, O.T.R.
• Lawanda Hicks Agbassi, NP
• Agha Internal Medicine Associates PC
• Hooman Agha, M.D.
• Agility Home Health Care, Inc.
• Jessica Burtt Agius, C.N.M., F.N.P.

• Adult Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Adult Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.

Verify at the official NPI Registry.