DIANE MARIE ELGHOUL MD
NPI 1407437080
Family Medicine in Decatur, MI

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
319 W DELAWARE ST, DECATUR, MI 49045(269) 423-7028 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Apr 15, 2021 (2 updates tracked since 2021).

About Diane Marie Elghoul Md NPPES

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

DIANE MARIE ELGHOUL MD (NPI 1407437080) is an individual family medicine provider in Decatur, Michigan, licensed in Michigan (4301513205) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1407437080
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIANE MARIE ELGHOULCredential: MD
Location Address319 W DELAWARE STDecatur, MI 49045-1106
Mailing Address601 John Street, Box 42Kalamazoo, MI 49007
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1407437080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301513205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
319 W DELAWARE ST, Decatur, MI 49045

Secondary Practice Location 1

Location 11234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 982-4941

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

Diane Marie Elghoul 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 ID345775136
PECOS Enrollment IDI20241203002872
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.

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49045 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 7

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

Registered Nurse (Ambulatory Care)
319 W DELAWARE ST
DECATUR, MI 49045
Registered Nurse (Ambulatory Care)
319 W DELAWARE ST
DECATUR, MI 49045
Family Medicine
319 W DELAWARE ST
DECATUR, MI 49045
Clinic/Center (Rural Health)
319 W DELAWARE ST
DECATUR, MI 49045
Nurse Practitioner (Family)
319 W DELAWARE ST
DECATUR, MI 49045
Family Medicine
319 W DELAWARE ST
DECATUR, MI 49045
Family Medicine (Adult Medicine)
319 W DELAWARE ST
DECATUR, MI 49045

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 Diane Elghoul's NPI number?

The NPI number for Diane Elghoul is 1407437080. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Diane Elghoul located?

Diane Elghoul practices at 319 W Delaware St, Decatur, MI 49045. The listed phone number is (269) 423-7028.

What is Diane Elghoul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diane Elghoul enrolled in Medicare?

Yes. Diane Elghoul 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 Diane Elghoul accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Diane Elghoul 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 Diane Elghoul affiliated with any hospitals?

According to CMS data, Diane Elghoul is affiliated with Bronson Methodist Hospital, Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Diane Elghoul was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.