Active NPI
Karim Elghawy, M.D.
- Pediatrics Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301108547
- Practice address
- 505 N Jackson St
Jackson, MI 49201-1266 - Phone
- (517) 748-5500
- NPI assigned
- May 11, 2015
- Last updated
- Nov 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301108547 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 4301108547 | MI | |
| Pediatrics Physician | 208000000X | 4301108547 | MI | Primary |
Addresses
Primary practice location
505 N Jackson St
Jackson, MI 49201-1266
Mailing address
505 N Jackson St
Jackson, MI 49201-1266
Phone (517) 748-5500
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
- Pediatric Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 N Jackson St
Jackson, MI 49201-1266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108547 | MI | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Michigan University School of Medicine | Current | Accepting new patients | |
| Center for Family Health | Pediatrics | Current | Accepting new patients |
| Center for Family Health | Pediatrics | Current | Accepting new patients |
| Advanced Veins and Vascular Management PLC | Current | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Past | Accepting new patients |
Locations
5470 Glenn Cross Rd
Battle Creek, MI 49015
Phone (269) 788-1258
3271 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-3879
1024 Fleming Ave
Jackson, MI 49202
Phone (517) 748-5500
505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500
544 Wildwood Ave
Jackson, MI 49201
Phone (517) 780-0838
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
670 Mall Dr
Portage, MI 49024
Phone (269) 327-1900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIBIBD
- kelghawy606166@direct.hfhs.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1780784439
Pediatrics
-
- Vascular Surgery Physician
- Hillsdale, MI
- NPI 1972158566
-
dba WMed Health
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1710764410
Pediatrics
-
dba Msu/KCMS
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1568467249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1689052789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N JACKSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011266",
"telephone_number": "517-748-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N JACKSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011266",
"telephone_number": "517-748-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGHAWY",
"first_name": "KARIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301108547",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "4301108547",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301108547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.