Active NPI
Elisabeth Ekkel-Ayoub, DO
- Surgery Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101027297
- Practice address
- Comprehensive Breast Care
4967 Crooks Rd #210
Troy, MI 48098 - Phone
- (248) 687-7300
- Fax
- (248) 687-7305
- NPI assigned
- Mar 28, 2018
- Last updated
- Nov 14, 2024
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101027297 | MI | Primary |
| Surgical Oncology Physician | 2086X0206X | 5101027297 | MI |
Addresses
Primary practice location
Comprehensive Breast Care
4967 Crooks Rd #210
Troy, MI 48098
Mailing address
Comprehensive Breast Care
5701 Bow Pointe Dr., Suite 280
Clarkston, MI 48346
Phone (248) 922-6635
Other practice location 1
3581 W 13 Mile Rd Ste Bcc
Royal Oak, MI 48073-6710
Phone (248) 551-3300
Other practice location 2
44199 Dequindre Rd Ste 612
Troy, MI 48085-1128
Phone (248) 964-5170
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- West Virginia School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535
4967 Crooks Rd
Suite 210
Troy, MI 48098-5804
Phone (248) 687-7300
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000
Hospital & facility affiliations
- McLaren Oakland
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.86 of 100
- Quality
- 78.24
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 74.63
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.08
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 16 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101027297 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Oakland | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Surgery | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847
5680 Bow Pointe Dr
Ste 280
Clarkston, MI 48346
Phone (248) 922-6635
5701 Bow Pointe Dr
Ste 280
Clarkston, MI 48346
Phone (248) 922-6830
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
3581 W 13 Mile Rd
Ste Bcc
Royal Oak, MI 48073
Phone (248) 551-3300
26901 Beaumont Blvd
#3D
Southfield, MI 48033
44199 Dequindre Rd
Ste 612
Troy, MI 48085
Phone (248) 964-5170
4967 Crooks Rd
Ste 210
Troy, MI 48098
Phone (248) 687-7300
Interoperability endpoints
- eekkel490780@direct.hfhs.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1407351737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMPREHENSIVE BREAST CARE",
"address_2": "5701 BOW POINTE DR., SUITE 280",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48346",
"telephone_number": "248-922-6635",
"fax_number": "248-922-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMPREHENSIVE BREAST CARE",
"address_2": "4967 CROOKS RD #210",
"city": "TROY",
"state": "MI",
"postal_code": "48098",
"telephone_number": "248-687-7300",
"fax_number": "248-687-7305"
}
],
"practiceLocations": [
{
"address_1": "3581 W 13 Mile Rd Ste Bcc",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736710",
"country_code": "US",
"telephone_number": "248-551-3300",
"fax_number": "248-551-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44199 Dequindre Rd Ste 612",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851128",
"country_code": "US",
"telephone_number": "248-964-5170",
"fax_number": "248-964-5175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EKKEL-AYOUB",
"first_name": "ELISABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2024-11-14",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101027297",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "MI",
"license": "5101027297",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.