Individual provider Active NPI

Edward Mavashev, M.D.

  • Surgery Physician
  • Dearborn, MI
National Provider Identifier
1386818060
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301095232 Issued in MI
Practice address
18181 Oakwood Blvd Ste 311
Dearborn, MI 48124-5031
Phone
(313) 982-5288
Fax
(313) 996-7290
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301095232 MI Primary
Surgery Physician 208600000X MD434232 PA

Addresses

Primary practice location

18181 Oakwood Blvd Ste 311
Dearborn, MI 48124-5031

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emavashev118359@direct.beaumont.edu

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
I20091016000527 MI Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 2567537780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089

18181 Oakwood Blvd
Suite 311
Dearborn, MI 48124-5031
Phone (313) 982-5288

2050 N Haggerty Rd
Canton, MI 48187-3796

28100 Grand River Ave
Farmington Hills, MI 48336-5970

33101 Annapolis St
Suite 100
Wayne, MI 48184-2405
Phone (734) 467-2670

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

6300 N Haggerty Rd
100 Beaumont Weight Control Ctr Canton
Canton, MI 48187-4472
Phone (734) 738-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)16
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434232PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Sep 14, 2018 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Group IX, LLC Surgery Past Accepting new patients

Locations

2050 N Haggerty Rd
Ste 200
Canton, MI 48187
Phone (313) 438-7880

6300 N Haggerty Rd
Ste 100
Canton, MI 48187
Phone (734) 738-1900

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

18181 Oakwood Blvd
Ste 311
Dearborn, MI 48124
Phone (313) 271-8170

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • Direct secure messaging: emavashev1245722@epic00.shdirect.org
  • Direct secure messaging: emavashev118359@direct.beaumont.edu

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 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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1386818060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 311",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-982-5288",
            "fax_number": "313-996-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVASHEV",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301095232",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD434232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emavashev118359@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18181 Oakwood Blvd Ste 212",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481245031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.