Active NPI
Zewditu Elsabet Asfaw, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301090515
- Practice address
- 16001 W 9 Mile Rd FL 3
Southfield, MI 48075-4818 - Phone
- (248) 849-2600
- Fax
- (248) 849-2610
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036.126595 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301090515 | MI | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd FL 3
Southfield, MI 48075-4818
Mailing address
16001 W 9 Mile Rd FL 3
Southfield, MI 48075-4818
Phone (248) 849-2600
Other practice location 1
311 Mack Ave
Suite 64100
Detroit, MI 48201-2417
Phone (313) 832-0650
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 |
|---|---|---|---|---|
| I20160809000410 | MI | Practitioner - Thoracic Surgery | 1759684079 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Wake Forest University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Lakes Foot and Ankle Institute PLLC
Practice addresses (Care Compare)
32743 23 Mile Rd
Suite 110
Chesterfield, MI 48047-2082
Phone (586) 725-3444
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 273 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.126595 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 4301090515 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Foot & Ankle Institute PLLC | Current | Accepting new patients | |
| Great Lakes Foot & Ankle Institute PLLC | Current | Accepting new patients | |
| Great Lakes Foot & Ankle Institute PLLC | Surgery | Current | Accepting new patients |
Locations
4650 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-3202
32743 23 Mile Rd
Ste 110
Chesterfield, MI 48047
Phone (586) 404-9703
13350 24 Mile Rd
Ste 600
Shelby Township, MI 48315
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.
-
- Foot & Ankle Surgery Podiatrist
- Chesterfield, MI
- NPI 1063445237
MI, Surgery
-
- Anatomic Pathology & Clinical Pathology Physician
- Chesterfield, MI
- NPI 1417620170
-
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
- NPI 1922699537
-
- Durable Medical Equipment & Medical Supplies
- Livonia, MI
- NPI 1619729928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1346570595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD FL 3",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-2600",
"fax_number": "248-849-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD FL 3",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-2600",
"fax_number": "248-849-2610"
}
],
"practiceLocations": [
{
"address_1": "311 Mack Ave",
"address_2": "Suite 64100",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012417",
"country_code": "US",
"telephone_number": "313-832-0650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASFAW",
"first_name": "ZEWDITU",
"middle_name": "ELSABET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036.126595",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301090515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.