DR. LUIS C AFONSO MD
NPI 1023058575
Internal Medicine - Cardiovascular Disease in Detroit, MI

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4201 SAINT ANTOINE ST STE 5A, DETROIT, MI 48201(313) 966-2492(313) 993-0657 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2022, Jan 15, 2016, Nov 24, 2015 (3 updates tracked since 2015).

About Dr. Luis C Afonso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS C AFONSO MD (NPI 1023058575) is an individual cardiovascular disease provider in Detroit, Michigan, licensed in Michigan (4301062290) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023058575
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. LUIS C AFONSOCredential: MD
Location Address4201 SAINT ANTOINE ST STE 5ADetroit, MI 48201-2153
Mailing Address400 Mack AveDetroit, MI 48201-2136
Fax(313) 993-0657
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 6, 2006
Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
NPI 1023058575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 4301062290
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301062290 (MI)
4201 SAINT ANTOINE ST STE 5A, Detroit, MI 48201

Secondary Practice Locations 2

Location 1400 Mack AveDetroit, MI 48201-2136 · Phone (313) 448-9650 · Fax (313) 448-9979
Location 24100 John R StDetroit, MI 48201-2013 · Phone (800) 527-6266 · Fax (313) 576-8381

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis C Afonso Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446262752
PECOS Enrollment IDI20060630000178
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
192 services192 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services71 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
135 services78 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
124 services41 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
85 services79 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
74 services69 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine (Pulmonary Disease)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Nurse Practitioner
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine (Cardiovascular Disease)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Afonso's NPI number?

The NPI number for Luis Afonso is 1023058575. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Luis Afonso located?

Luis Afonso practices at 4201 Saint Antoine St Ste 5A, Detroit, MI 48201. The listed phone number is (313) 966-2492.

What is Luis Afonso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Luis Afonso enrolled in Medicare?

Yes. Luis Afonso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luis Afonso accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Luis Afonso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luis Afonso affiliated with any hospitals?

According to CMS data, Luis Afonso is affiliated with Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Luis Afonso was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.