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ANNES BAHER MUSTAFA ELFAR
NPI 1154166320
Student in an Organized Health Care Education/Training Program in Clinton Township, MI

Active since June 28, 2024PECOS Enrolled
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2973 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Jun 28, 2024 (2 updates tracked since 2024).

About Annes Baher Mustafa Elfar NPPES

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

ANNES BAHER MUSTAFA ELFAR (NPI 1154166320) is an individual student in an organized health care education/training program in Clinton Township, Michigan and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154166320
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANNES BAHER MUSTAFA ELFAR
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address4731 S Joplin AveTulsa, OK 74135-6855
Phone(586) 263-2973
Sole ProprietorYes
Enumeration DateJune 28, 2024
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1154166320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15855 19 MILE RD, Clinton Township, MI 48038
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annes Baher Mustafa Elfar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

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 Annes Elfar's NPI number?

The NPI number for Annes Elfar is 1154166320. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Annes Elfar located?

Annes Elfar practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2973.

What is Annes Elfar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Annes Elfar enrolled in Medicare?

Yes. Annes Elfar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annes Elfar was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.