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WARREN GASTROENTEROLOGY PC
NPI 1023211422
Internal Medicine - Gastroenterology in Warren, MI

Active since June 06, 2007CLIA 23D2023134 · Certificate of Compliance
27560 HOOVER RD, WARREN, MI 48093(586) 757-6400(586) 757-8400 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Warren Gastroenterology Pc NPPES

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

WARREN GASTROENTEROLOGY PC (NPI 1023211422) is a healthcare organization registered as a gastroenterology in Warren, Michigan and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 5, 2027 and lists Ghaith M Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1023211422
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameWARREN GASTROENTEROLOGY PC
Location Address27560 HOOVER RDWarren, MI 48093-4505
Mailing AddressPo Box 1920Troy, MI 48099-1920 · (586) 757-6400
Phone(586) 757-6400
Fax(586) 757-8400
Organization SubpartNo
Authorized OfficialGhaith M IbrahimPresident · (586) 757-6400
Enumeration DateJune 6, 2007
Last NPPES UpdateMarch 16, 2010
✔ NPI 1023211422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X
27560 HOOVER RD, Warren, MI 48093
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Other Identifiers 3

Medicare PIN0P48380MI
Medicare UPING84226MI
Medicaid4813806MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warren Gastroenterology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Warren Gastroenterology PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Rafic Beydoun, MD
Pathology
NPI 1831455138
3990 JOHN R ST
Detroit, MI 48201
(313) 745-8555
✔ PECOS✔ Accepts Medicare4.1 mi
Hayan Jaratli, MD
Pathology
NPI 1285898908
3990 JOHN R ST HARPER HOSPITAL PATHOLOGY
Detroit, MI 48201
(313) 745-8555
✔ PECOS✔ Accepts Medicare4.1 mi
Rabei Bdeir, MD
Pathology
NPI 1619920634
44405 WOODWARD AVE
Pontiac, MI 48341
(248) 858-3190
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2023134

Warren Gastroenterology · Warren, MI
Active · expires Jan 5, 2027
CLIA Number23D2023134
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorHayan Jaratli
Laboratory Phone(313) 597-5368
Laboratory LocationWarren Gastroenterology27560 Hoover Road, Warren, MI 48093
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Warren Gastroenterology PC's NPI number?

The NPI number for Warren Gastroenterology PC is 1023211422. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Warren Gastroenterology PC located?

Warren Gastroenterology PC is located at 27560 Hoover Rd, Warren, MI 48093. The listed phone number is (586) 757-6400.

What is Warren Gastroenterology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Warren Gastroenterology PC enrolled in Medicare?

Yes. Warren Gastroenterology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Warren Gastroenterology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pathology, reassign their Medicare billing to Warren Gastroenterology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Warren Gastroenterology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2023134) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Warren Gastroenterology PC 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 list Warren Gastroenterology PC 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.

When was this NPI record last updated?

The NPPES record for Warren Gastroenterology PC was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.