Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Moustafa S Bazzi, MD

Individual provider Family Medicine Physician · NPI 1265176747

Moustafa S Bazzi, MD is a Family Practice in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3370 E Jefferson Ave
Detroit, MI 48207-4236
Phone: (313) 656-1600
Fax: (313) 656-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 N Perry St, Pontiac, MI 48342-2217 — (248) 338-5392

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 4301511136 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301511136 (MI)

Record details

NPI number1265176747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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