AYESHA FATIMA
Accepted Insurance for NPI 1235357708
Pediatrics - Pediatric Gastroenterology in Royal Oak, MI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
AYESHA FATIMA, a pediatrics provider in Royal Oak, MI, is listed as in-network for 68 health insurance plans from 4 insurance companies, led by Blue Care Network of Michigan, Priority Health and Blue Cross Blue Shield of Michigan Mutual Insurance Company. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Care Network of Michigan
Blue Cross� Preferred HMO Bronze Extra
Blue Cross� Preferred HMO Bronze Saver HSA
Blue Cross� Preferred HMO Bronze Secure
Blue Cross� Preferred HMO Gold Extra
Blue Cross� Preferred HMO Gold
Blue Cross� Preferred HMO Silver Extra
Blue Cross� Preferred HMO Silver Saver
Blue Cross� Preferred HMO Silver
Blue Cross� Preferred HMO Value
Blue Cross� Select HMO Bronze Extra
Blue Cross� Select HMO Bronze Saver HSA
Blue Cross� Select HMO Bronze Secure
Blue Cross� Select HMO Silver Extra
Blue Cross� Select HMO Silver Saver
Blue Cross� Select HMO Silver
Blue Cross� Select HMO Value
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Blue Cross� Premier PPO Bronze Extra
Blue Cross� Premier PPO Bronze Saver HSA
Blue Cross� Premier PPO Bronze Secure
Blue Cross� Premier PPO Gold Extra
Blue Cross� Premier PPO Gold
Blue Cross� Premier PPO Silver Extra
Blue Cross� Premier PPO Silver Saver HSA
Blue Cross� Premier PPO Silver
Blue Cross� Premier PPO Value
McLaren Health Plan Community
MHP Bronze Saver (Expanded)
MHP Bronze
MHP Expanded Bronze Standard
MHP Gold Standard
MHP Gold
MHP Silver Exchange Rewards
MHP Silver Exchange
MHP Silver Standard
MHP Young Adult/Catastrophic
Priority Health
MyPriority Balanced Silver Southeast Michigan Network
MyPriority Balanced Silver
MyPriority Enhanced Gold Southeast Michigan Network
MyPriority Premier Silver
MyPriority Standard Bronze - Southeast Michigan Network
MyPriority Standard Bronze - Travel
MyPriority Standard Bronze
MyPriority Standard Gold Southeast Michigan Network
MyPriority Standard Gold
MyPriority Standard Silver - Southeast Michigan Network
MyPriority Standard Silver - Travel
MyPriority Standard Silver
MyPriority Value Bronze HSA Southeast Michigan Network
MyPriority Value Bronze HSA
MyPriority Value Bronze Southeast Michigan Network
MyPriority Value Bronze
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does AYESHA FATIMA accept?
Marketplace files for the 2026 plan year list AYESHA FATIMA as in-network for 68 plans from 4 insurance companies. The largest networks are Blue Care Network of Michigan (16 plans), Priority Health (16 plans), Blue Cross Blue Shield of Michigan Mutual Insurance Company (9 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is AYESHA FATIMA enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does AYESHA FATIMA participate in?
The accepted plans include 41 HMO plans and 9 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
