NPIMap

Individual provider Active NPI

Suzan Mokhayesh Syed, MD

  • Family Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1992899827
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301081351 Issued in MI
Practice address
2300 Haggerty Rd Ste 2140
West Bloomfield, MI 48323-2191
Phone
(248) 669-5050
Fax
(248) 669-1700
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 4301081351 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 2140
West Bloomfield, MI 48323-2191

Mailing address

2300 Haggerty Rd Ste 2140
West Bloomfield, MI 48323-2191
Phone (248) 669-5050

Other identifiers 1

IdentifierTypeStateIssuer
4675174MedicaidMI

Other names 1

  • Dr. Suzan Mokhayesh 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
I20040611000287 MI Practitioner - Family Practice 6002899184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians
Integrated and Preventative Health Care Associates PLCGroup PAC ID 9032409701, 2 clinicians

Practice addresses (Care Compare)

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

4057 Pioneer Dr
Suite 300
Commerce TWP, MI 48390-1363
Phone (248) 669-5050

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081351MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated & Preventative Health Care Associates PLC Family Medicine CurrentSince Mar 23, 2016 Accepting new patients

Locations

4057 Pioneer Dr
Ste 300
Commerce Township, MI 48390
Phone (248) 669-5050

2300 Haggerty Rd
Ste 2140
West Bloomfield, MI 48323
Phone (248) 669-5050

Interoperability endpoints

  • Direct secure messaging: suzan.syed.1@13176.direct.athenahealth.com
  • Direct secure messaging: ssyed1155020@direct.hfhs.org

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1992899827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2140",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232191",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2140",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232191",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "SUZAN",
        "middle_name": "MOKHAYESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675174",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZAN",
            "last_name": "MOKHAYESH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.