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

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