KEFAH ABBAS MAZLOUM
NPI 1356093553
Nurse Practitioner - Family in Jackson, MI
About Kefah Abbas Mazloum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEFAH ABBAS MAZLOUM (NPI 1356093553) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704341497) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Kefah Abbas Mazloum 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MI 49201
JACKSON, MI 49201
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 Kefah Mazloum's NPI number?
The NPI number for Kefah Mazloum is 1356093553. It was assigned to this individual provider in the NPPES registry on January 19, 2022.
Where is Kefah Mazloum located?
Kefah Mazloum practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-7836.
What is Kefah Mazloum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kefah Mazloum enrolled in Medicare?
Yes. Kefah Mazloum 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 Kefah Mazloum accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Kefah Mazloum 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 Kefah Mazloum was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kefah Abbas Mazloum · NPI 1356093553
Family physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since January 19, 2022.
## Identity
- **NPI:** 1356093553 (Entity type: Individual)
- **Enumerated:** January 19, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704341497 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 N EAST AVE, Jackson, MI 49201-1753
- **Phone:** (517) 205-7836
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356093553) · Data from the CMS NPPES public registry.