DR. MAZEN SAMIR HARAKE M.D.
NPI 1699986760
Plastic Surgery in Troy, MI

Active since May 24, 2007PECOS Enrolled
1050 WILSHIRE DR STE 100, TROY, MI 48084(773) 230-5000(248) 825-3214 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mazen Samir Harake M.d. NPPES

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

DR. MAZEN SAMIR HARAKE M.D. (NPI 1699986760) is an individual plastic surgery provider in Troy, Michigan, licensed in Ohio (35123751) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699986760
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. MAZEN SAMIR HARAKECredential: M.D.
Location Address1050 WILSHIRE DR STE 100Troy, MI 48084-1526
Mailing Address1050 Wilshire Dr Ste 100Troy, MI 48084-1526 · (773) 230-5000 · Fax (248) 825-8214
Fax(248) 825-3214
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1699986760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in OH · 35123751
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1050 WILSHIRE DR STE 100, Troy, MI 48084

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mazen Samir Harake M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mazen Harake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
Urgent Care
411 DEVON PL
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 27 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 2

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

Surgery (Plastic and Reconstructive Surgery)
1050 WILSHIRE DR STE 100
TROY, MI 48084
Surgery (Plastic and Reconstructive Surgery)
1050 WILSHIRE DR STE 100
TROY, MI 48084

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 Mazen Harake's NPI number?

The NPI number for Mazen Harake is 1699986760. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Mazen Harake located?

Mazen Harake practices at 1050 Wilshire Dr Ste 100, Troy, MI 48084. The listed phone number is (773) 230-5000.

What is Mazen Harake's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mazen Harake enrolled in Medicare?

Yes. Mazen Harake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mazen Harake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mazen Harake reassigns Medicare benefits to 2 organizations: North East Ohio Group Practice LLC (Middleburg Heights, OH) and Robinson Health System Inc (Kent, OH). Each 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 Mazen Harake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mazen Harake accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list Mazen Harake 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 Mazen Harake was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.