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MAZEN SAMI AFRAM MD
NPI 1376616615
Internal Medicine in Rochester, MI

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1135 W UNIVERSITY DR, STE 175, ROCHESTER, MI 48307(248) 650-4738(248) 650-4976 Get Directions Write a Review

NPPES record last updated: February 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mazen Sami Afram Md NPPES

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

MAZEN SAMI AFRAM MD (NPI 1376616615) is an individual internal medicine provider in Rochester, Michigan, licensed in Michigan (MA072402) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1376616615
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAZEN SAMI AFRAMCredential: MD
Location Address1135 W UNIVERSITY DR, STE 175Rochester, MI 48307-1893
Mailing Address1135 W University Dr, Ste 175Rochester, MI 48307-1893 · (248) 650-4738 · Fax (248) 650-4976
Phone(248) 650-4738
Fax(248) 650-4976
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1998
Enumeration DateNovember 16, 2006
Last NPPES UpdateFebruary 11, 2017
✔ NPI 1376616615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · MA072402
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.
1135 W UNIVERSITY DR, Rochester, MI 48307
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Other Identifiers 2

Other1106342451MI · Bcbsm
Medicare ID-Type UnspecifiedON56310MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, 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

Mazen Sami Afram 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 ID3476710476
PECOS Enrollment IDI20120202000449
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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,053 services265 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
369 services257 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
369 services172 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
243 services176 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.
79 services78 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%39 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$15.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$5.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$71.52 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 20

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

DR. KRISTINE O. RUDOLF M.D.
Family Medicine
1135 W UNIVERSITY DR, SUITE 250
ROCHESTER HILLS, MI 48307
Oakland County (248) 453-0194
MICHAEL W LAKER M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1135 W UNIVERSITY DR, SUITE 450
ROCHESTER, MI 48307
Oakland County (248) 650-2400
JINPING XU MD MS
Family Medicine
1135 W UNIVERSITY DR, STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
DR. BARTOL BIOCIC M.D.
Obstetrics & Gynecology
1135 W UNIVERSITY DR, SUITE 300
ROCHESTER, MI 48307
Oakland County (248) 652-3050
NEUROHEALTH ASSOCIATES PLC
Psychiatry & Neurology (Psychiatry)
1135 W UNIVERSITY DR, SUITE 410
ROCHESTER, MI 48307
Oakland County (248) 656-0011
JEFFREY L & CHARLES J WEINGARTEN MD PC
Urology
1135 W UNIVERSITY DR, SUITE 210
ROCHESTER HILLS, MI 48307
Oakland County (248) 650-4660
BARTOL BIOCIC M.D. PC
Obstetrics & Gynecology
1135 W UNIVERSITY DR, SUITE 300
ROCHESTER, MI 48307
Oakland County (248) 652-3050
MRS. JILL MARIE DIENES PT
Physical Therapist
1135 W UNIVERSITY DR, SUITE 450
ROCHESTER HILLS, MI 48307
Oakland County (248) 650-2400

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 Mazen Afram's NPI number?

The NPI number for Mazen Afram is 1376616615. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mazen Afram located?

Mazen Afram practices at 1135 W University Dr Ste 175, Rochester, MI 48307. The listed phone number is (248) 650-4738.

What is Mazen Afram's specialty?

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

Is Mazen Afram enrolled in Medicare?

Yes. Mazen Afram 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 Mazen Afram accept?

Health plans from McLaren Health Plan Community and Priority Health list Mazen Afram 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 Mazen Afram affiliated with any hospitals?

According to CMS data, Mazen Afram is affiliated with Ascension St John Hospital and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Mazen Afram was last updated on February 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.