NPIMap

Individual provider Active NPI

Marcel Elanjian, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Dearborn, MI
National Provider Identifier
1861485500
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
007858 Issued in MI
Practice address
2151 Monroe St
Dearborn, MI 48124-2922
Phone
(313) 561-6060
Fax
(313) 561-6061
NPI assigned
Aug 29, 2005
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 007858 MI Primary

Addresses

Primary practice location

2151 Monroe St
Dearborn, MI 48124-2922

Mailing address

2151 Monroe St
Dearborn, MI 48124-2922
Phone (313) 561-6060

Other identifiers 1

IdentifierTypeStateIssuer
2116337MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000720 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 9133116478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

2151 Monroe St
Dearborn, MI 48124-2922
Phone (313) 561-6060

23600 Northline Rd
Medilodge of Taylor
Taylor, MI 48180-4620
Phone (734) 287-8580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007858MIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcel R Elanjian D O. PLLC Geriatric Medicine CurrentSince Oct 1, 2007 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
The Zabelle Home, LLC PastSince Aug 8, 2021 Accepting new patients
Taylor Opco LLC Past Accepting new patients

Locations

2151 Monroe St
Dearborn, MI 48124
Phone (313) 561-5050

Organizations & group practices 4

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1861485500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242922",
            "telephone_number": "313-561-6060",
            "fax_number": "313-561-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242922",
            "telephone_number": "313-561-6060",
            "fax_number": "313-561-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELANJIAN",
        "first_name": "MARCEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "007858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116337",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.