ELFATIH ISMAIL I M ABTER MD
NPI 1255473534
Internal Medicine - Infectious Disease in Lapeer, MI

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
1375 N MAIN ST, LAPEER, MI 48446(810) 667-5647 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elfatih Ismail I M Abter Md NPPES

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

ELFATIH ISMAIL I M ABTER MD (NPI 1255473534) is an individual infectious disease provider in Lapeer, Michigan, licensed in Michigan (4031089652) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1255473534
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameELFATIH ISMAIL I M ABTERCredential: MD
Location Address1375 N MAIN STLapeer, MI 48446-1350
Mailing AddressPo Box 14Oxford, MI 48371-0014 · (248) 760-5812
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 15, 2013
NPI 1255473534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in MI · 4031089652 Licensed in NJ · 25MA05677700
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1375 N MAIN ST, Lapeer, MI 48446

Other Names 1

Other Name (5)Elfatih Ismail M Ismail Abter Md

Other Identifiers 5

Other0440074MI · Bcbsm
Medicare ID-Type Unspecified052191M26NJ
Medicare UPINF55701
Medicaid8672903NJ
Medicare PINMI3644001MI

Accepted 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

Elfatih Ismail I M Abter Md 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 ID7618075375
PECOS Enrollment IDI20070605000163
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 8

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.

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.
334 services144 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.
140 services121 patients
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.
104 services61 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
37 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services23 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Mclaren Lapeer Region

Acute Care Hospitals · Lapeer, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230193
Location1375 N Main StLapeer, MI 48446 · Lapeer County
Emergency services Birthing friendly

Mclaren Thumb Region

Critical Access Hospitals · Bad Axe, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231340
Location1100 S Van Dyke RdBad Axe, MI 48413 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48446 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Social Worker (Clinical)
1375 N MAIN ST
LAPEER, MI 48446
Psychologist (Clinical)
1375 N MAIN ST
LAPEER, MI 48446
Occupational Therapist
1375 N MAIN ST
LAPEER, MI 48446
Nurse Practitioner (Family)
1375 N MAIN ST
LAPEER, MI 48446
Nurse Practitioner (Psychiatric/Mental Health)
1375 N MAIN ST
LAPEER, MI 48446
Surgery
1375 N MAIN ST
LAPEER, MI 48446
Physician Assistant (Surgical)
1375 N MAIN ST
LAPEER, MI 48446
Physician Assistant
1375 N MAIN ST, TRAUMA SURGERY DEPARTMENT
LAPEER, MI 48446

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 Elfatih Abter's NPI number?

The NPI number for Elfatih Abter is 1255473534. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Elfatih Ismail M Ismail Abter MD.

Where is Elfatih Abter located?

Elfatih Abter practices at 1375 N Main St, Lapeer, MI 48446. The listed phone number is (810) 667-5647.

What is Elfatih Abter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Elfatih Abter enrolled in Medicare?

Yes. Elfatih Abter 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 Elfatih Abter accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Elfatih Abter 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 Elfatih Abter affiliated with any hospitals?

According to CMS data, Elfatih Abter is affiliated with Mclaren Flint, Mclaren Lapeer Region and Mclaren Thumb Region.

When was this NPI record last updated?

The NPPES record for Elfatih Abter was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.