Mouhamad Bazzi


Address: 2405 Whittier Dr, Suite 100, Frederick, MD 21702-3361

Mouhamad Bazzi (NPI# 1265619878, PAC ID# 3173799897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1265619878
PAC ID by PECOS 3173799897
Professional Enrollment ID I20111230000399
Full Name Mouhamad Bazzi
Address 2405 Whittier Dr
Suite 100
Frederick
MD 21702-3361
Gender M
Graduation Year 2000
Primary Specialty HEMATOLOGY/ONCOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210005 FREDERICK MEMORIAL HOSPITAL
390065 GETTYSBURG HOSPITAL

Other Locations

Address Phone Organization
2405 Whittier Dr, Suite 100, Frederick, MD 21702-3361

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_113_overall Colorectal Cancer Screening 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 2405 WHITTIER DR
SUITE 100
City FREDERICK
State MD
Zip 21702-3361

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Competitor

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City FREDERICK
Zip Code 21702
Specialty HEMATOLOGY/ONCOLOGY
City + Specialty FREDERICK + HEMATOLOGY/ONCOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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