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DR. MARIAM AHMAD HAZEM M.D.
NPI 1518087956
Internal Medicine in Detroit, MI

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST STE 5C, DETROIT, MI 48201(313) 577-5030(313) 745-4707 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2025, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Mariam Ahmad Hazem M.d. NPPES

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

DR. MARIAM AHMAD HAZEM M.D. (NPI 1518087956) is an individual internal medicine provider in Detroit, Michigan, licensed in California (A111423) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2006).

NPPES Registry Identity

NPI1518087956
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIAM AHMAD HAZEMCredential: M.D.
Location Address4201 SAINT ANTOINE ST STE 5CDetroit, MI 48201-2153
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1189 · (248) 581-5972 · Fax (248) 581-5640
Phone(313) 577-5030
Fax(313) 745-4707
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2006
Enumeration DateMarch 30, 2007
Last NPPES UpdateMarch 7, 20255 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1518087956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A111423✔ Licensed in MI · 4301087742
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.
Also ListedHospitalistTaxonomy 208M00000X · License 4301087742 (MI)
4201 SAINT ANTOINE ST STE 5C, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariam Ahmad Hazem M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567507114
PECOS Enrollment IDI20250313000751
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARSH ROHIT SHAH DO
Internal Medicine (Hematology & Oncology)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Wayne County (313) 577-5030
STACEY TAYLOR FNP
Nurse Practitioner (Family)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Wayne County (313) 745-7999
HEBATALLA OSMAN DO
Internal Medicine (Cardiovascular Disease)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Wayne County (313) 577-4342
BRIAN RUTLEDGE M.D.
Internal Medicine (Gastroenterology)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Wayne County (313) 577-5030
AUGUSTINA OBI NP
Nurse Practitioner
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Wayne County (313) 577-5030

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 Mariam Hazem's NPI number?

The NPI number for Mariam Hazem is 1518087956. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Mariam Hazem located?

Mariam Hazem practices at 4201 Saint Antoine St Ste 5C, Detroit, MI 48201. The listed phone number is (313) 577-5030.

What is Mariam Hazem's specialty?

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

Is Mariam Hazem enrolled in Medicare?

Yes. Mariam Hazem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mariam Hazem was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.