Blue Water Pain Specialists PC
NPI 1568889442 · Pain Medicine Physician · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Water Pain Specialists PC is a Pain Medicine Physician organization in Detroit, MI (NPI 1568889442).
Provider details
- NPI number
- 1568889442
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bassam Durgham, Treasurer(248) 792-7029
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-28
- Last updated
- 2017-11-15
Frequently asked questions
- What is Blue Water Pain Specialists PC's NPI number?
- Blue Water Pain Specialists PC's National Provider Identifier (NPI) is 1568889442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Pain Specialists PC?
- Blue Water Pain Specialists PC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Water Pain Specialists PC located?
- Blue Water Pain Specialists PC's practice location on file with NPPES is 22101 Moross Rd, Detroit, MI 48236-2148.
- What is Blue Water Pain Specialists PC's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Pain Specialists PC is (313) 343-4000.
- Does Blue Water Pain Specialists PC accept Medicare?
- Blue Water Pain Specialists PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Water Pain Specialists PC?
- The authorized official listed on Blue Water Pain Specialists PC's NPPES record is Bassam Durgham, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Pain Specialists PC's NPI active?
- Yes — Blue Water Pain Specialists PC's NPI (1568889442) is active in the NPPES registry as of the last update on 2017-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.