ABRAHAM S MADANY M.D
NPI 1235441858
Obstetrics & Gynecology in Oak Park, MI

Active since July 12, 2010PECOS EnrolledAccepts Medicare Assignment
93.62/100
CMS Quality Rating
24611 COOLIDGE HWY, OAK PARK, MI 48237(248) 542-4300 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Feb 12, 2016, Dec 2, 2015 (3 updates tracked since 2015).

About Abraham S Madany M.d NPPES

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

ABRAHAM S MADANY M.D (NPI 1235441858) is an individual obstetrics & gynecology provider in Oak Park, Michigan, licensed in Michigan (4301097218) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1235441858
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameABRAHAM S MADANYCredential: M.D
Location Address24611 COOLIDGE HWYOak Park, MI 48237-1449
Mailing Address24611 Coolidge HwyOak Park, MI 48237-1449
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 12, 2010
Last NPPES UpdateMarch 22, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1235441858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MI · 4301097218✔ Licensed in IN · 01076390A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
24611 COOLIDGE HWY, Oak Park, MI 48237

Accepted 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

Abraham S Madany M.d 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 ID8426350398
PECOS Enrollment IDI20160108001928
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

2

Medicare enrollment records show Abraham Madany reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
44405 WOODWARD AVE
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 139 clinicians in this Medicare group
Family Medicine
1794 N LAPEER RD, SUITE A
Lapeer, MI 48446
  • Reassigned Medicare billing, Michigan enrollment
  • 467 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48237 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

93.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.81
Promoting Interoperability100
Improvement Activities40
Cost82.06

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
24611 COOLIDGE HWY
OAK PARK, MI 48237
Dentist (Pediatric Dentistry)
24611 COOLIDGE HWY
OAK PARK, MI 48237
Dentist
24611 COOLIDGE HWY
OAK PARK, MI 48237

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 Abraham Madany's NPI number?

The NPI number for Abraham Madany is 1235441858. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Abraham Madany located?

Abraham Madany practices at 24611 Coolidge Hwy, Oak Park, MI 48237. The listed phone number is (248) 542-4300.

What is Abraham Madany's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Abraham Madany enrolled in Medicare?

Yes. Abraham Madany 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 Abraham Madany's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Madany reassigns Medicare benefits to 2 organizations: Sjmh Medical Practice-Smhc (Pontiac, MI) and Hurley Medical Center (Lapeer, 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 Abraham Madany's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abraham Madany accept?

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

According to CMS data, Abraham Madany is affiliated with Hurley Medical Center.

When was this NPI record last updated?

The NPPES record for Abraham Madany was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.