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MAZEN EL-KOUDSI NP
NPI 1245821131
Nurse Practitioner - Primary Care in Dearborn, MI

Active since February 02, 2021PECOS Enrolled
12940 W WARREN AVE, DEARBORN, MI 48126(313) 945-8210(313) 945-0729 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2021, Feb 11, 2021, Feb 2, 2021 (3 updates tracked since 2021).

About Mazen El-koudsi Np NPPES

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

MAZEN EL-KOUDSI NP (NPI 1245821131) is an individual primary care provider in Dearborn, Michigan, licensed in Michigan (4704343520) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Westland.

NPPES Registry Identity

NPI1245821131
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMAZEN EL-KOUDSICredential: NP
Location Address12940 W WARREN AVEDearborn, MI 48126-1535
Mailing Address1405 Hollywood StDearborn, MI 48124-5021 · (313) 523-0681
Phone(313) 945-8210
Fax(313) 945-0729
Sole ProprietorYes
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMay 11, 20213 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1245821131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MI · 4704343520
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704343520 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704343520 (MI)
12940 W WARREN AVE, Dearborn, MI 48126
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Other Names 1

Other Name (5)Mazen El Koudsi Np

Secondary Practice Location 1

Location 133545 Cherry Hill RdWestland, MI 48186-4842 · Phone (734) 729-7960

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mazen El-koudsi Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

TARIF MUSTAFA MD PC
Internal Medicine
12940 W WARREN AVE
DEARBORN, MI 48126
Wayne County (313) 945-8210
SAEEDEH ELAHI
Nurse Practitioner (Family)
12940 W WARREN AVE
DEARBORN, MI 48126
Wayne County (313) 945-8210

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 Mazen El-koudsi's NPI number?

The NPI number for Mazen El-koudsi is 1245821131. It was assigned to this individual provider in the NPPES registry on February 2, 2021. The provider is also known as Mazen El Koudsi Np.

Where is Mazen El-koudsi located?

Mazen El-koudsi practices at 12940 W Warren Ave, Dearborn, MI 48126. The listed phone number is (313) 945-8210.

What is Mazen El-koudsi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mazen El-koudsi enrolled in Medicare?

Yes. Mazen El-koudsi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mazen El-koudsi was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.