NPIMap

Individual provider Active NPI

Elias Skaf, M.D.

  • Interventional Cardiology Physician
  • Port Huron, MI
National Provider Identifier
1235332917
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301083143 Issued in MI
Practice address
1222 10TH Ave
Port Huron, MI 48060-3406
Phone
(810) 985-9681
Fax
(810) 985-5310
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301083143 MI Primary

Addresses

Primary practice location

1222 10TH Ave
Port Huron, MI 48060-3406

Mailing address

1222 10TH Ave
Port Huron, MI 48060-3406
Phone (810) 985-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000601 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830274570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Assoc of Port HuronGroup PAC ID 1658348776, 10 clinicians

Practice addresses (Care Compare)

1222 10TH Ave
Port Huron, MI 48060-3406
Phone (810) 985-9681

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting86
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Assoc of Port Huron Cardiovascular Disease CurrentSince Jul 5, 2011 Accepting new patients
Sparrow Ionia Hospital CurrentSince Feb 1, 2010 Accepting new patients
Sparrow Ionia Hospital CurrentSince Feb 1, 2010 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
#C
Carson City, MI 48811
Phone (989) 584-3971

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

4190 24th Ave
Ste 203
Fort Gratiot, MI 48059
Phone (810) 989-7490

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1222 10th Ave
Port Huron, MI 48060
Phone (810) 985-9681

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elias.skaf.p1@direct.porthuronheartcenter.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1235332917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603406",
            "telephone_number": "810-985-9681",
            "fax_number": "810-985-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603406",
            "telephone_number": "810-985-9681",
            "fax_number": "810-985-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAF",
        "first_name": "ELIAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301083143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.