ELIAS G GENNAOUI MD
NPI 1316917917
Obstetrics & Gynecology in Allen Park, MI

Q: What is Elias Gennaoui's NPI number?

The NPI number for Elias Gennaoui is 1316917917. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Elias Gennaoui's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Elias Gennaoui was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 25, 2006PECOS Enrolled

14825 SOUTHFIELD RD, ALLEN PARK, MI 48101(313) 386-3930(313) 386-0962 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2022, Jul 19, 2019 (2 updates tracked since 2019).

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About Elias G Gennaoui Md NPPES

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

ELIAS G GENNAOUI MD (NPI 1316917917) is an individual obstetrics & gynecology provider in Allen Park, Michigan, licensed in Michigan (4301037248) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316917917

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameELIAS G GENNAOUICredential: MD

Location Address14825 SOUTHFIELD RDAllen Park, MI 48101-2642

Mailing Address28011 Hickory DrFarmington Hills, MI 48331-2952 · (248) 489-8177

Phone(313) 386-3930

Fax(313) 386-0962

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1316917917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4301037248

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

14825 SOUTHFIELD RD, Allen Park, MI 48101

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Other Identifiers 1

Medicaid3442150MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elias G Gennaoui Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elias Gennaoui reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obhg Michigan, PC

63 mi

Obstetrics & Gynecology

205 N EAST AVE
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
37 clinicians in this Medicare group

NPI 1790120863 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48101 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 8

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

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