RADWA ELREFAI
NPI 1285355636
Dentist in Fort Gratiot, MI

NPI Status: Active since September 05, 2022

Contact Information

4036 24TH AVE
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 432-0152

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
Accepts Insurance

About RADWA ELREFAI

This page provides the complete NPI Profile along with additional information for Radwa Elrefai, a provider established in Fort Gratiot, Michigan with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1285355636 assigned on September 2022. The practitioner's primary taxonomy code is 122300000X with license number 2901601497 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1285355636
Provider Name: RADWA ELREFAI
Gender: Female
Entity Type: Individual
Location Address: 4036 24TH AVE FORT GRATIOT, MI 48059
Location Phone: (810) 432-0152
Mailing Address: 4036 24TH AVE FORT GRATIOT, MI 48059
Mailing Phone: (810) 432-0152
Is Sole Proprietor?: No
Enumeration Date: 09-05-2022
Last Update Date: 09-05-2022
Code Navigator

A dentist like Radwa Elrefai is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist
Taxonomy Code: 122300000X
Type: Dental Providers
License No.: 2901601497
License State: MI
Taxonomy Description: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Meridian

Clear Silver - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO

Antidote Health Plan of Arizona, Inc.

Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Catastrophic Standard - HMO
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

Antidote Health Plan of Ohio, Inc.

Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Catastrophic Standard - HMO
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

BEST Life

BEST Life Superior Dental Plan - PPO
BEST Essential Basic Dental Plan - PPO
BEST Life Essentail Basic Dental Plan - PPO
BEST Life Essentail Value Dental Plan - PPO
BEST Life Essental Value Dental Plan - PPO
BEST Life Essential Basic Dental - PPO
BEST Life Essential Basic Dental Plan - PPO
BEST Life Essential Basic Dental - PPO
BEST Life Essential Basic Dental Plan - PPO
BEST Life Essential Vakue Dental Plan - PPO
BEST Life Essential Value Dental Plan - PPO
BEST Life Essential Value Dental - PPO
BEST Life Essential Value Dental Plan - PPO
BEST Life Preferred Dental Plan - PPO
BEST Life Preferred Dental - PPO
BEST Life Preferred Dental Plan - PPO
BEST Life Preferred Dental plan - PPO
BEST Life Superior Dental - PPO
BEST Life Superior Dental Plan - PPO
BEST Life Superior Dental Plan - PPO

Blue Cross and Blue Shield of Illinois

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Montana

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Oklahoma

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Texas

BlueCare Dental 1D - PPO
BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Blue Dental EPO 80/50/50 (0/0/0) - EPO
Blue Dental PPO 100/50/50 (50/50/50) - PPO
Blue Dental PPO 100/70/50 (80/60/50) - PPO
Blue Dental PPO 80/50/50 (50/50/50) - PPO
Blue Dental PPO Pediatric 80/50/50 (50/50/50) - PPO
Blue Dental PPO Plus 80/60/50 - PPO

Delta Dental of Michigan

Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
Delta Dental Individual PPO Silver Plan, EHB Certified - PPO

Dominion National

Choice PPO Basic - PPO
Choice PPO Basic Kids - PPO
Choice PPO Plus - PPO
Choice PPO Premium - PPO
Choice PPO Premium Kids - PPO
Choice PPO Preventive - PPO

EMI Health

EMI Health Advantage Co-Pay - PPO
EMI Health Advantage PPO - PPO
EMI Health Premier PPO (High) - PPO
EMI Health Premier PPO (Low) - PPO

Florida Combined Life

BlueDental Copayment Q - PPO
BlueDental Copayment QF - PPO

Guardian

Guardian Essentials for Families and Individuals - PPO
Guardian Preventive Plus for Families and Individuals - PPO
Guardian Select for Families and Individuals - PPO

Humana

Humana Dental Smart Choice - PPO
Humana Dental Smart Choice - High - PPO
Humana Dental Smart Choice - Lite - PPO
Humana Dental Smart Choice - Low - PPO
Humana Dental Smart Choice Basic - PPO
Humana Dental Smart Choice- Lite - PPO

Paramount

Paramount Dental Essential Plus Plan - EPO
Paramount Dental Preventive Family Plan - EPO
Paramount Dental Total Care Plan - EPO

Paramount Dental

HRI Essential Plus Plan - HMO
HRI Essential Plus Plan - PPO
HRI Preventive Family Plan - HMO
HRI Preventive Family Plan - PPO
HRI Total Care Plan - HMO
HRI Total Care Plan - PPO

UnitedHealthcare

Smile Now Arizona - No Waiting Period PPO - PPO
Smile Now Illinois - No Waiting Period PPO - PPO
Smile Now Michigan - No Waiting Period PPO - PPO
Smile Now Ohio - No Waiting Period PPO - PPO
Smile Now Tennessee - No Waiting Period PPO - PPO
Smile Now Texas- No Waiting Period Plan - PPO
Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	8	5	3	5	5	6	3	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	16	5	6	5	10	6	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 5 + 1 + 0 + 6 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1285355636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

DR. CELESTE RUHIA CORNELL-VALDES DDS

Dentist

(General Practice)