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MOHAMED H ELNABTITY M.D.
NPI 1255385910
Neurological Surgery in East Lansing, MI

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
1575 RAMBLEWOOD DR, SUITE 200, EAST LANSING, MI 48823(517) 827-1800(517) 827-1642 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mohamed H Elnabtity M.d. NPPES

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

MOHAMED H ELNABTITY M.D. (NPI 1255385910) is an individual neurological surgery provider in East Lansing, Michigan, licensed in Michigan (4301079335) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1255385910
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMOHAMED H ELNABTITYCredential: M.D.
Location Address1575 RAMBLEWOOD DR, SUITE 200East Lansing, MI 48823-6384
Mailing Address1575 Ramblewood Dr, Suite 200East Lansing, MI 48823-6384 · (517) 827-1800 · Fax (517) 827-1642
Phone(517) 827-1800
Fax(517) 827-1642
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1994
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 20, 2016
✔ NPI 1255385910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MI · 4301079335
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1575 RAMBLEWOOD DR, East Lansing, MI 48823
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Other Identifiers 3

Medicaid4829860MI
Medicare PINMI7206014MI
Medicare UPINH17832MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamed H Elnabtity 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 ID42271173
PECOS Enrollment IDI20051011001030
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services16 patients
Closed treatment of broken spine bone with cast or brace 22310
This procedure involves treating a fractured spine bone without surgery. A cast or brace is used to stabilize the bone, allowing it to heal naturally. This method can limit movement, reduce pain, and promote recovery.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
42%245 patients2/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%918 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%140 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
58%1,611 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%926 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%344 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%876 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
43%195 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 15% · 61 patients
Patients tobacco: 86% · 290 patients
100%290 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
36%926 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
2%926 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

AMBER L LEDBETTER NP
Nurse Practitioner (Family)
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 827-1800
SHARON REYNOLDS
Physical Therapist
1575 RAMBLEWOOD DR, SUITE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
CENTIS HEALTH
Neurological Surgery
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 827-1800
TIMOTHY M HEILMAN D.O.
Neurological Surgery
1575 RAMBLEWOOD DR, SUITE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
CHRISTOPHER J ABOOD M.D.
Neurological Surgery
1575 RAMBLEWOOD DR, SUITE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
DR. OMAR QAHWASH D.O.
Neurological Surgery
1575 RAMBLEWOOD DR, STE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
HANNAH JOY DEJONG FNP
Nurse Practitioner (Family)
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 827-1800
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Radiologic Technologist (Bone Densitometry)
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 332-3500

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 Mohamed Elnabtity's NPI number?

The NPI number for Mohamed Elnabtity is 1255385910. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Mohamed Elnabtity located?

Mohamed Elnabtity practices at 1575 Ramblewood Dr Suite 200, East Lansing, MI 48823. The listed phone number is (517) 827-1800.

What is Mohamed Elnabtity's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Mohamed Elnabtity enrolled in Medicare?

Yes. Mohamed Elnabtity 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.

What insurance does Mohamed Elnabtity accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mohamed Elnabtity 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 Mohamed Elnabtity affiliated with any hospitals?

According to CMS data, Mohamed Elnabtity is affiliated with Mclaren Greater Lansing, Edward W Sparrow Hospital and Sparrow Clinton Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Elnabtity was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.