Individual provider Active NPI

Luis C Afonso, MD

  • Cardiovascular Disease Physician
  • Detroit, MI
National Provider Identifier
1023058575
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301062290 Issued in MI
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

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 399 clinicians

Practice addresses (Care Compare)

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4525

Hospital & facility affiliations

  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
  • Karmanos Cancer Center Hospital, Detroit, MI, CCN 230297

Merit-based Incentive Payment System (MIPS)

Final score
82.96 of 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Oct 1, 2006 Accepting new patients
University Physician Group Internal Medicine CurrentSince Oct 1, 2006 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

  • Direct secure messaging: luis.afonso.1@19711.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.