Active NPI
Luis C Afonso, MD
- Cardiovascular Disease Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301062290
- Practice address
- 4201 Saint Antoine St Ste 5a
Detroit, MI 48201-2153 - Phone
- (313) 966-2492
- Fax
- (313) 993-0657
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301062290 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301062290 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St Ste 5a
Detroit, MI 48201-2153
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Other practice location 1
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Other practice location 2
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060630000178 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 0446262752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physician Group
Practice addresses (Care Compare)
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4525
Hospital & facility affiliations
- Harper University Hospital
- Detroit Receiving Hospital
- Karmanos Cancer Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.96 of 100
- Quality
- 51.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| Harper Hutzel Hospital | Past | Accepting new patients |
Locations
400 Mack Ave
#2W
Detroit, MI 48201
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4201 Saint Antoine St
Ste 5A
Detroit, MI 48201
Phone (313) 966-2492
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
3990 John R St
Ofc
Detroit, MI 48201
4201 Saint Antoine St
Ste 804
Detroit, MI 48201
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4201 Saint Antoine St
#5A
Detroit, MI 48201
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- luis.afonso.1@19711.direct.athenahealth.com
- lafonso@direct.dmc.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Internal Medicine, MI
-
- Counselor
- Detroit, MI
- NPI 1447465661
-
- Optometrist
- Detroit, MI
- NPI 1063452233
-
- Clinic/Center
- Detroit, MI
- NPI 1417150327
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1023058575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 5A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-966-2492",
"fax_number": "313-993-0657"
}
],
"practiceLocations": [
{
"address_1": "4100 John R St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012013",
"country_code": "US",
"telephone_number": "800-527-6266",
"fax_number": "313-576-8381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Mack Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012136",
"country_code": "US",
"telephone_number": "313-448-9650",
"fax_number": "313-448-9979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFONSO",
"first_name": "LUIS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301062290",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301062290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.