Individual provider Active NPI

Zewditu Elsabet Asfaw, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Southfield, MI
National Provider Identifier
1346570595
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301090515 Issued in MI
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

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160809000410 MI Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 1759684079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General 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 PLLCGroup PAC ID 1557323904, 15 clinicians

Practice addresses (Care Compare)

32743 23 Mile Rd
Suite 110
Chesterfield, MI 48047-2082
Phone (586) 725-3444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.126595ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301090515MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Foot & Ankle Institute PLLC Current Accepting new patients
Great Lakes Foot & Ankle Institute PLLC CurrentSince May 1, 2024 Accepting new patients
Great Lakes Foot & Ankle Institute PLLC Surgery CurrentSince May 1, 2024 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.

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

Verify at the official NPI Registry.