BLUE WATER PAIN SPECIALISTS PC
NPI 1568889442
Pain Medicine - Pain Medicine in Detroit, MI
About Blue Water Pain Specialists Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE WATER PAIN SPECIALISTS PC (NPI 1568889442) is a healthcare organization registered as a pain medicine in Detroit, Michigan and active in the NPI registry since March 2014. The organization lists Bassam E. Durgham, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Blue Water Pain Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Blue Water Pain Specialists PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48081
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blue Water Pain Specialists PC's NPI number?
The NPI number for Blue Water Pain Specialists PC is 1568889442. It was assigned to this organization in the NPPES registry on March 28, 2014.
Where is Blue Water Pain Specialists PC located?
Blue Water Pain Specialists PC is located at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.
What is Blue Water Pain Specialists PC's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Blue Water Pain Specialists PC enrolled in Medicare?
Yes. Blue Water Pain Specialists PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Water Pain Specialists PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Blue Water Pain Specialists 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. The largest specialties are Anesthesiology (3) and Pain Management (3). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blue Water Pain Specialists PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Blue Water Pain Specialists 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 Blue Water Pain Specialists PC was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Blue Water Pain Specialists Pc · NPI 1568889442
Pain Medicine organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since March 28, 2014.
## Identity
- **NPI:** 1568889442 (Entity type: Organization)
- **Enumerated:** March 28, 2014
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Bassam Durgham, TREASURER
## Practice location
- **Address:** 22101 MOROSS RD, Detroit, MI 48236-2148
- **Phone:** (313) 343-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (3), Pain Management (3); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1568889442) · Data from the CMS NPPES public registry.