JUDY KAFELGHAZAL MD
NPI 1205452463
Student in an Organized Health Care Education/Training Program in Canton, MI

Q: What is Judy Kafelghazal's NPI number?

The NPI number for Judy Kafelghazal is 1205452463. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Q: What is Judy Kafelghazal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judy Kafelghazal was last updated on May 10, 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.

Active since June 23, 2020PECOS Enrolled

1051 N CANTON CENTER RD, CANTON, MI 48187(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2022, Jun 23, 2020 (2 updates tracked since 2020).

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About Judy Kafelghazal Md NPPES

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

JUDY KAFELGHAZAL MD (NPI 1205452463) is an individual student in an organized health care education/training program in Canton, Michigan, licensed in Michigan (4351049030) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1205452463

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJUDY KAFELGHAZALCredential: MD

Location Address1051 N CANTON CENTER RDCanton, MI 48187-5097

Mailing Address1540 E Hospital DrAnn Arbor, MI 48109-4000 · (734) 647-1774

Phone(734) 539-5080

Sole ProprietorNo

Enumeration DateJune 23, 2020

Last NPPES UpdateMay 10, 20222 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1205452463 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

License✔ Licensed in MI · 4351049030

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.

1051 N CANTON CENTER RD, Canton, MI 48187

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Secondary Practice Location 1

Location 1700 Cooper AveSaginaw, MI 48602-5383 · Phone (989) 583-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy Kafelghazal Md 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.

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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.

GENEVIEVE ALLEN MD