Individual provider Active NPI

Mazen Alsaqa, M.D.

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1982968244
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301101042 Issued in MI
Practice address
37538 Dequindre Rd
Sterling Heights, MI 48310-3511
Phone
(586) 939-3073
Fax
(586) 939-4314
NPI assigned
Jul 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301101042 MI Primary

Addresses

Primary practice location

37538 Dequindre Rd
Sterling Heights, MI 48310-3511

Mailing address

37538 Dequindre Rd
Sterling Heights, MI 48310-3511
Phone (248) 979-1249

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
I20150609000672 MI Practitioner - Internal Medicine 0446571970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

37538 Dequindre Rd
Sterling Heights, MI 48310-3511
Phone (586) 939-3073

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Care2U Home health agency, Farmington Hills, MI, CCN 239070
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101042MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mazen Alsaqa MD PLLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

37538 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 939-3073

Interoperability endpoints

  • Direct secure messaging: mazen.alsaqa.1@26158.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26158/brand/1/csg/1/fhir/r4
  • Direct secure messaging: malsaqa947567@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1982968244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37538 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103511",
            "telephone_number": "248-979-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37538 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103511",
            "telephone_number": "586-939-3073",
            "fax_number": "586-939-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAQA",
        "first_name": "MAZEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.