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DR. ASHRAF F ELKERM MD
NPI 1306825831
Internal Medicine in Leominster, MA

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
370 WEST ST, LEOMINSTER, MA 01453(978) 537-0771(978) 401-3116 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2022, Aug 20, 2020, Jun 24, 2020 (3 updates tracked since 2020).

About Dr. Ashraf F Elkerm Md NPPES

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

DR. ASHRAF F ELKERM MD (NPI 1306825831) is an individual internal medicine provider in Leominster, Massachusetts, licensed in Massachusetts (81917) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1306825831
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHRAF F ELKERMCredential: MD
Location Address370 WEST STLeominster, MA 01453-2073
Mailing AddressPo Box 2153 Dept 40338Birmingham, AL 35287-9386
Phone(978) 537-0771
Fax(978) 401-3116
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 12, 2006
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1306825831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 81917
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
370 WEST ST, Leominster, MA 01453
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Other Names 1

Professional Name (2)Ashraf F Elkerm Md

Other Identifiers 16

Other042472266Three Rivers
Medicaid3165094MA
Other784130Mvp Health Care
Other0402639Evercare
Other042472266One Health Plan
OtherAA1200Harvard Pilgrim Healthcar
Other1163808First Health
Other4766351Cigna Health Plan
Other5442476Aetna Us Healthcare
OtherJ17715Blue Shield Hmo Blue
Other042472266Healthcare Value Manageme
Other36660Fallon Community Health P
OtherJ17715Blue Care Elect
Other042472266Private Healthcare Sytste
Other042472266Tricare Champus
OtherJ17715Blue Shield Indemnity

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Ashraf F Elkerm 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 ID7416184528
PECOS Enrollment IDI20131217001454
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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
617 services238 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.
374 services175 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
231 services187 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
223 services186 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
77 services58 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
48 services46 patients

Hospital Affiliations CMS Care Compare

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$40.99 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$41.37 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$11.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PAULINE N MONGO-SHEI NP
Nurse Practitioner
370 WEST ST
LEOMINSTER, MA 01453
Worcester County (978) 537-0771
FAIRLAWN MEDICAL INVESTORS, LLC
Skilled Nursing Facility
370 WEST ST
LEOMINSTER, MA 01453
Worcester County (978) 343-4411

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 Ashraf Elkerm's NPI number?

The NPI number for Ashraf Elkerm is 1306825831. It was assigned to this individual provider in the NPPES registry on January 12, 2006. The provider is also known as Ashraf F Elkerm MD.

Where is Ashraf Elkerm located?

Ashraf Elkerm practices at 370 West St, Leominster, MA 01453. The listed phone number is (978) 537-0771.

What is Ashraf Elkerm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashraf Elkerm enrolled in Medicare?

Yes. Ashraf Elkerm 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 Ashraf Elkerm accept?

Health plans from Anthem Blue Cross and Blue Shield list Ashraf Elkerm 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 Ashraf Elkerm affiliated with any hospitals?

According to CMS data, Ashraf Elkerm is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Ashraf Elkerm was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.