Individual provider Active NPI

Elisabeth Ekkel-Ayoub, DO

  • Surgery Physician
  • Troy, MI
National Provider Identifier
1407351737
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101027297 Issued in MI
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000205 MI Practitioner - General Surgery 0042566903 Reassigns benefits to 3 organizations

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
McLaren OaklandGroup PAC ID 0547173213, 51 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
60.86 of 100Reported as group
Quality
78.24
Promoting interoperability
0
Improvement activities
40
Cost
74.63

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.08
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027297MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland CurrentSince Sep 26, 2024 Accepting new patients
McLaren Oakland CurrentSince Sep 26, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2024 Accepting new patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Jul 31, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.