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DR. NAJWA EL-NACHEF
NPI 1336266493
Internal Medicine - Gastroenterology in Novi, MI

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
39450 W 12 MILE RD, NOVI, MI 48377(248) 344-6688 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Najwa El-nachef NPPES

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

DR. NAJWA EL-NACHEF (NPI 1336266493) is an individual gastroenterology provider in Novi, Michigan, licensed in Michigan (4301083977) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1336266493
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NAJWA EL-NACHEF
Location Address39450 W 12 MILE RDNovi, MI 48377-3600
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(248) 344-6688
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1336266493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MI · 4301083977✔ Licensed in CA · A102803
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301083977 (MI)
39450 W 12 MILE RD, Novi, MI 48377
Open in Google Maps ↗

Secondary Practice Location 1

Location 1513 Parnassus Ave, S-357, box 0538San Francisco, CA 94143-2205 · Phone (734) 936-4385

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Najwa El-nachef 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 ID143407759
PECOS Enrollment IDI20230912002570
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 5

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.

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.
22 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 services12 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.73
Promoting Interoperability100
Improvement Activities40

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.

MONA KSAR PHARMD
Pharmacist
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 680-6075
ROBERT CAMAJ
Physical Therapist
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-2300
HENRY FORD HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
39450 W 12 MILE RD, STE 1B
NOVI, MI 48377
Oakland County (248) 344-0705
MS. ASHTON KYLEIGH TAYLOR LMSW
Social Worker (Clinical)
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 661-7393
DR. ROBERT MATTHEW KOIVUNEN D.P.M.
Podiatrist
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-2390
KELLY MICHELLE WEIR AT, ATC, PES, CSCS
Specialist/Technologist (Athletic Trainer)
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-2300
GRETA PARK
Psychiatry & Neurology (Psychiatry)
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-6688
ANGELA ILAGAN PA-C
Physician Assistant
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-0710

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 Najwa El-nachef's NPI number?

The NPI number for Najwa El-nachef is 1336266493. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Najwa El-nachef located?

Najwa El-nachef practices at 39450 W 12 Mile Rd, Novi, MI 48377. The listed phone number is (248) 344-6688.

What is Najwa El-nachef's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Najwa El-nachef enrolled in Medicare?

Yes. Najwa El-nachef 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 Najwa El-nachef accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Najwa El-nachef 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 Najwa El-nachef affiliated with any hospitals?

According to CMS data, Najwa El-nachef is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Najwa El-nachef was last updated on August 28, 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.