Individual provider Active NPI

Elena Marie Gianfermi, M.D.

  • Ophthalmology Physician
  • Dearborn, MI
National Provider Identifier
1477755478
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301086472 Issued in MI
Practice address
22731 Newman St Ste 200
Dearborn, MI 48124
Phone
(313) 561-1777
Fax
(313) 561-8044
NPI assigned
Jun 1, 2007
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301086472 MI Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 4301086472 MI

Addresses

Primary practice location

22731 Newman St Ste 200
Dearborn, MI 48124

Mailing address

6689 Orchard Lake Rd # 297
West Bloomfield, MI 48322-3404
Phone (248) 254-8140

Other practice location 1

2355 Monroe St
Dearborn, MI 48124-3009
Phone (313) 561-4466

Other practice location 2

22731 Newman St Ste 200
Dearborn, MI 48124
Phone (313) 561-1777

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
I20130115000249 MI Practitioner - OphthalmologyPractitioner - General Surgery 6305099771 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Eye Care PCGroup PAC ID 0244338127, 8 clinicians

Practice addresses (Care Compare)

22731 Newman St
Suite 245
Dearborn, MI 48124-2023
Phone (313) 561-1777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086472MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC CurrentSince Nov 8, 2018 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Nov 8, 2018 Accepting new patients
Children's Eye Care, PC Ophthalmology CurrentSince Sep 8, 2012 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jan 1, 2019 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Aug 13, 2019 Accepting new patients
Hurley Medical Center CurrentSince Aug 13, 2019 Accepting new patients
Hurley Medical Center Current Accepting new patients
Childrens Eye Care PC Ophthalmology Current Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Children's Eye Care PC Ophthalmology CurrentSince Sep 8, 2012 Accepting new patients
Hurley Medical Center Current Accepting new patients
Children's Eye Care, PC Ophthalmology Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

42700 Garfield Rd
Ste 200
Clinton Twp, MI 48038
Phone (586) 532-3380

22731 Newman St
Ste 245
Dearborn, MI 48124
Phone (313) 561-1777

2355 Monroe St
Dearborn, MI 48124
Phone (313) 561-1777

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: egianfer@direct.dmc.org
  • Direct secure messaging: egianfermi1129940@direct.hfhs.org
  • Direct secure messaging: egianfermi1234986@epic00.shdirect.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1477755478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD # 297",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-254-8140",
            "fax_number": "248-254-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-561-1777",
            "fax_number": "313-561-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243009",
            "country_code": "US",
            "telephone_number": "313-561-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22731 Newman St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48124",
            "country_code": "US",
            "telephone_number": "313-561-1777",
            "fax_number": "313-561-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANFERMI",
        "first_name": "ELENA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301086472",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MI",
            "license": "4301086472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.