NPPES file of Aug 9, 2026

Domonique Bazile

Physician Assistant · Detroit, MI

Domonique Bazile is a physician assistant with a practice address in Detroit, Michigan, and NPI 1659140655, issued on Jan 1, 2024. Check the license with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1659140655
Name
Domonique Bazile
Primary taxonomy
Physician Assistant 363A00000X
Practice location
18463 Livernois Ave, Detroit, MI 48221
Phone
(313) 369-1500
Enumerated
Jan 1, 2024
Record last updated
Sep 17, 2025
Fax
(248) 336-9137
Medicare enrollment
Enrolled (PECOS I20250819004538); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 18463 Livernois Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kaitlyn CheedieFamily Nurse Practitioner1710538947
  2. Katrina Collins, PA-CPhysician Assistant1144193111
  3. Isabella Dela CruzPhysician Assistant1619583994
  4. Christina George, DNP, FNP-BCFamily Nurse Practitioner1255105490
  5. Adrian Griffin, FNPNurse Practitioner1396389839
  6. Kimberly Haggerty, PAPhysician Assistant1841884384

Verify Domonique Bazile in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Domonique Bazile among 6,989 physician assistant records in Michigan

Domonique Bazile is one of 6,989 physician assistant records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 86% of them.

  • NPI issued2024 · 86% of these records are older, 9% newer
  • In a Medicare fileNo · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2024 · median 2017 among the 4,739 with a school on file
  • Record last updated2025 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

368 physician assistant records list a practice address in Detroit

They are 368 of the 19,832 NPPES records with a practice address in Detroit, and 6,989 physician assistant records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physician assistant records with the nearest ZIP codes

  1. Leo Antrassian, PA-CDetroit, MI 482211730699299
  2. Sara AtishaDetroit, MI 482211316601206
  3. Kristen Danyal, PA-CDetroit, MI 482211861179848
  4. Isabella Dela CruzDetroit, MI 482211619583994
  5. Amy Dereczyk, PA-CDetroit, MI 482211558349050
  6. John Fisher, PA-CDetroit, MI 482211225753775
  7. Ayana Gates, PA-CDetroit, MI 482211952841207
  8. Kimberly Haggerty, PADetroit, MI 482211841884384

Common questions

What is Domonique Bazile's NPI number?

Domonique Bazile's National Provider Identifier (NPI) is 1659140655, issued on Jan 1, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Domonique Bazile located?

The NPPES record lists a practice address at 18463 Livernois Ave, Detroit, MI, 48221. Phone: (313) 369-1500. Providers update this record themselves, so call before visiting.

How can I verify Domonique Bazile's license?

Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.