NPIMap

Individual provider Active NPI

George S Afram, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1356499800
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
067969 Issued in MI
Practice address
29275 Harper Ave
Saint Clair Shores, MI 48081-1248
Phone
(586) 779-6630
Fax
(586) 779-6645
NPI assigned
Jan 8, 2007
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 067969 MI Primary

Addresses

Primary practice location

29275 Harper Ave
Saint Clair Shores, MI 48081-1248

Mailing address

29275 Harper Ave
Saint Clair Shores, MI 48081-1248
Phone (586) 779-6630

Other identifiers 1

IdentifierTypeStateIssuer
4249403MedicaidMI

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
I20070730000101 MI Practitioner - Internal Medicine 4183725534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29275 Harper Ave
Saint Clair Shores, MI 48081-1248
Phone (586) 779-6630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as group
Quality
60
Promoting interoperability
100
Improvement activities
40
Cost
88.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
067969MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George S Afram MD PC Internal Medicine CurrentSince Sep 1, 2000 Accepting new patients
Kidney Care Specialists of Michigan PC PastSince Nov 26, 2023 Accepting new patients

Locations

29275 Harper Ave
St Clr Shores, MI 48081
Phone (586) 778-0664

Interoperability endpoints

  • Direct secure messaging: gafram1159170@direct.hfhs.org

Organizations & group practices 2

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 10

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1356499800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811248",
            "telephone_number": "586-779-6630",
            "fax_number": "586-779-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811248",
            "telephone_number": "586-779-6630",
            "fax_number": "586-779-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFRAM",
        "first_name": "GEORGE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "067969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.