SUSAN EDLIBI M.D.
NPI 1255825501
Internal Medicine - Allergy & Immunology in Detroit, MI

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-4988 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Edlibi M.d. NPPES

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

SUSAN EDLIBI M.D. (NPI 1255825501) is an individual allergy & immunology provider in Detroit, Michigan, licensed in Michigan (43510399878) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2018).

NPPES Registry Identity

NPI1255825501
Entity TypeIndividualFemale
Primary Taxonomy207RA0201X
Provider Legal NameSUSAN EDLIBICredential: M.D.
Location Address2799 W GRAND BLVDDetroit, MI 48202-2689
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-4988
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
NPI 1255825501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License Licensed in MI · 43510399878
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301114536 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 4301114536 (MI)
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 43510399878 (MI)
2799 W GRAND BLVD, Detroit, MI 48202

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

Susan Edlibi 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 ID5597285775
PECOS Enrollment IDI20250218002242
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 48202 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.

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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Susan Edlibi's NPI number?

The NPI number for Susan Edlibi is 1255825501. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Susan Edlibi located?

Susan Edlibi practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-4988.

What is Susan Edlibi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Susan Edlibi enrolled in Medicare?

Yes. Susan Edlibi 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 Susan Edlibi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Susan Edlibi 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.

When was this NPI record last updated?

The NPPES record for Susan Edlibi was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.