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DR. NASHWAN Y YOUSIF MD
NPI 1124042288
Internal Medicine in Rochester Hills, MI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
940 W AVON RD, STE 7, ROCHESTER HILLS, MI 48307(248) 693-8634(248) 693-8644 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nashwan Y Yousif Md NPPES

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

DR. NASHWAN Y YOUSIF MD (NPI 1124042288) is an individual internal medicine provider in Rochester Hills, Michigan, licensed in Michigan (4301080432) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1124042288
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NASHWAN Y YOUSIFCredential: MD
Location Address940 W AVON RD, STE 7Rochester Hills, MI 48307-2760
Mailing AddressPo Box 4304Troy, MI 48099-4304 · (248) 693-8634
Phone(248) 693-8634
Fax(248) 693-8644
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 3, 2016
✔ NPI 1124042288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301080432
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 4301080432 (MI)
940 W AVON RD, Rochester Hills, MI 48307
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Other Identifiers 5

Medicaid4985103-10MI
Medicare PIN0P34720MI
Medicaid4909513-10MI
Medicare PINP28070090MI
Medicare UPINI57846MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nashwan Y Yousif 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 ID9739183278
PECOS Enrollment IDI20060914000182
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nashwan Yousif reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iha Ooma Primary LLC
2.3 mi
Family Medicine
1854 W AUBURN RD STE 100
Rochester Hills, MI 48309
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group
NPI 1235711722 (248) 696-3170
Seton Health Corporation Of Southeastern Michigan
10 mi
Family Medicine
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 111 clinicians in this Medicare group
NPI 1598177065 (248) 680-8000
Inpatient Consultants Of Michigan PC
23 mi
Hospitalist
36123 SCHOOLCRAFT RD
Livonia, MI 48150
  • Reassigned Medicare billing, Michigan enrollment
  • 177 clinicians in this Medicare group
NPI 1861442824 (734) 793-6140
Hospitalist Physicians Medical Group Of Michigan, PC
51 mi
Emergency Medicine
775 S MAIN ST
Chelsea, MI 48118
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
NPI 1003978867 (954) 939-5000

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

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
335 services156 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
207 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
39 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
38%68 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
28%162 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%110 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%433 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%194 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%443 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%362 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%42 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%443 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
32%443 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
24%443 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers13 claims33 services$4.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.97 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
4 suppliers11 claims750 services$0.80 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$212.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

DR. ALISON NICOLE KIRSCHENBAUM D.D.S.
Dentist (General Practice)
940 W AVON RD, SUITE 12
ROCHESTER HILLS, MI 48307
Oakland County (248) 652-7172
SHEELA A. DHARMANI, M.D., F.A.C.O.G., PLC
Obstetrics & Gynecology
940 W AVON RD, BUILDING B, SUITE 13
ROCHESTER HILLS, MI 48307
Oakland County (248) 651-6631
WILLIAM MCCULLOUGH NP
Nurse Practitioner
940 W AVON RD
ROCHESTER HILLS, MI 48307
Oakland County (248) 650-5009
MUHAMMAD ALAMGIR KHAN M.D.
Psychiatry & Neurology (Neurology)
940 W AVON RD, SUITE 8
ROCHESTER HILLS, MI 48307
Oakland County (248) 651-5600
ROCHESTER NEUROLOGICAL CENTER, PC
Psychiatry & Neurology (Neurology)
940 W AVON RD, SUITE 8
ROCHESTER HILLS, MI 48307
Oakland County (248) 651-5600
DR. HELEN WEI MD
Internal Medicine
940 W AVON RD, SUITE 9
ROCHESTER HILLS, MI 48307
Oakland County (248) 609-2353
FUGLE AND ASSOCIATES PC
Orthopaedic Surgery
940 W AVON RD, BLDG B
ROCHESTER HILLS, MI 48307
Oakland County (248) 656-0440
DR. SHEELA A DHARMANI MD
Obstetrics & Gynecology
940 W AVON RD, BULIDING B STE 13
ROCHESTER HILLS, MI 48307
Oakland County (248) 651-6631

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 Nashwan Yousif's NPI number?

The NPI number for Nashwan Yousif is 1124042288. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Nashwan Yousif located?

Nashwan Yousif practices at 940 W Avon Rd Ste 7, Rochester Hills, MI 48307. The listed phone number is (248) 693-8634.

What is Nashwan Yousif's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nashwan Yousif enrolled in Medicare?

Yes. Nashwan Yousif 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.

Which organizations bill Medicare for Nashwan Yousif's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nashwan Yousif reassigns Medicare benefits to 4 organizations: Iha Ooma Primary LLC (Rochester Hills, MI), Seton Health Corporation Of Southeastern Michigan (Clinton Township, MI), Inpatient Consultants Of Michigan PC (Livonia, MI) and Hospitalist Physicians Medical Group Of Michigan, PC (Chelsea, MI). Each 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 Nashwan Yousif's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nashwan Yousif accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nashwan Yousif 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 Nashwan Yousif affiliated with any hospitals?

According to CMS data, Nashwan Yousif is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Nashwan Yousif was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.