Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ali Tarif Bazzy, DO

Individual provider Family Medicine Physician · NPI 1962882910

Dr. Ali Tarif Bazzy, DO is a Family Practice in Saint Clair Shores, Michigan. Qualified in 2015, 11 years ago. Practices with Ascension Michigan-Cmg, a 65-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20225 E 9 Mile Rd Ste A
Saint Clair Shores, MI 48080
Phone: (586) 779-8700
Fax: (586) 498-1425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101021541 (MI)

Record details

NPI number1962882910
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 4, 2015
Last updated in NPPESJuly 3, 2018
Mailing address20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080-1700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ascension Michigan-Cmg — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores