NPIMap

Individual provider Active NPI

Hazem Samir-Moez, MD

  • Internal Medicine Physician
  • Hamtramck, MI
National Provider Identifier
1992734214
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063463 Issued in MI
Practice address
3301 Holbrook St
Hamtramck, MI 48212-3519
Phone
(313) 872-5555
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 4301063463 MI Primary

Addresses

Primary practice location

3301 Holbrook St
Hamtramck, MI 48212-3519

Mailing address

3301 Holbrook St
Hamtramck, MI 48212-3519
Phone (313) 872-5555

Other identifiers 1

IdentifierTypeStateIssuer
4636926MedicaidMI

Other names 1

  • Hazem Abdelmoez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000825 MI Practitioner - Internal Medicine 0547171936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3301 Holbrook St
Hamtramck, MI 48212-3519
Phone (313) 872-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063463MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Michigan, Inc. Past Accepting new patients
Exceptional Home Healthcare, Inc. PastSince Apr 30, 2003 Accepting new patients
Home Care One, Inc Internal Medicine PastSince Aug 1, 2006 Accepting new patients
VHS Physicians of Michigan Internal Medicine Past Accepting new patients
Clark Center for Comprehensive Medicine P.C. Internal Medicine Past Accepting new patients

Organizations & group practices 6

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 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1992734214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 HOLBROOK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123519",
            "telephone_number": "313-872-5555",
            "fax_number": "313-216-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HOLBROOK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123519",
            "telephone_number": "313-872-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIR-MOEZ",
        "first_name": "HAZEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4636926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEM",
            "last_name": "ABDELMOEZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.