DR. FASAHAT HUSAIN HAMZAVI (MD) – MOHS-Micrographic Surgery Physician, NPI 1295780989
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for DR. FASAHAT HUSAIN HAMZAVI (MD)
2950 Keewahdin Rd
Fort Gratiot, MI 480593526
Phone: (810) 455-1600
Fax: (810) 455-1620
Type: Location
43151, Dalcoma Drive, Clinton Township, Macomb County, Michigan, 48038, United States
SUITE 1
CLINTON TWP, MI 480386306
Phone: (586) 286-8720
Fax: (586) 286-8723
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $123,584.
Total Amount is formed as General ($1,148) + Research ($122,436) + Ownership ($0) = $123,584.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Nielsen BioSciences, Inc. ($122,436).
Total Amount
$123,584
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,148
General payments
Research Amount
$122,436
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nielsen BioSciences, Inc. | $122,436 |
| Incyte Corporation | $702 |
| Kerecis Limited | $91 |
| PFIZER INC. | $60 |
| Novartis Pharmaceuticals Corporation | $56 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041019000261 | I | Dermatology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,991 | 506 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,033 | 847 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 897 | 684 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 595 | 502 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 437 | 336 | $0 |
Insurance plans in this area (ZIP 48059)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MD | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI |
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