HAMTRAMCK MEDICAL GROUP, PC
NPI 1467517862
Internal Medicine in Hamtramck, MI

Active since December 26, 2006CLIA 23D1024437 · Waiver
9222 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 872-5555(313) 872-5009 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hamtramck Medical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAMTRAMCK MEDICAL GROUP, PC (NPI 1467517862) is a healthcare organization registered as an internal medicine in Hamtramck, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Hazem Samir-moez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467517862
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHAMTRAMCK MEDICAL GROUP, PC
Location Address9222 JOSEPH CAMPAU STHamtramck, MI 48212-3731
Mailing Address27141 Kennedy StDearborn Heights, MI 48127-1669 · (313) 410-2010 · Fax (313) 561-6666
Fax(313) 872-5009
Organization SubpartNo
Authorized OfficialHazem Samir-moezMedical Director · (313) 410-2010
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467517862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301063463
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9222 JOSEPH CAMPAU ST, Hamtramck, MI 48212

Other Identifiers 1

Medicaid4636926MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hamtramck Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hamtramck Medical Group, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1992734214
3301 HOLBROOK ST
Hamtramck, MI 48212
(313) 872-5555
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1024437

Hamtramck Medical Group · Hamtramck, MI
Active · expires Apr 12, 2028
CLIA Number23D1024437
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorMustafa Nagler
Laboratory Phone(313) 872-5555
Laboratory LocationHamtramck Medical Group3301 Holbrook, Hamtramck, MI 48212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hamtramck Medical Group, PC's NPI number?

The NPI number for Hamtramck Medical Group, PC is 1467517862. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Hamtramck Medical Group, PC located?

Hamtramck Medical Group, PC is located at 9222 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 872-5555.

What is Hamtramck Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hamtramck Medical Group, PC enrolled in Medicare?

Yes. Hamtramck Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hamtramck Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Hamtramck Medical Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hamtramck Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1024437) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hamtramck Medical Group, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Hamtramck Medical Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hamtramck Medical Group, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.