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DR. TESFAMARIAM OKBAY METIKU M.D.
NPI 1427289339
Internal Medicine in Eastpointe, MI

Active since July 28, 2009PECOS Enrolled
21409 KELLY RD STE 400, EASTPOINTE, MI 48021(586) 777-0630(586) 777-0631 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tesfamariam Okbay Metiku M.d. NPPES

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

DR. TESFAMARIAM OKBAY METIKU M.D. (NPI 1427289339) is an individual internal medicine provider in Eastpointe, Michigan, licensed in Michigan (4301092621) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427289339
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TESFAMARIAM OKBAY METIKUCredential: M.D.
Location Address21409 KELLY RD STE 400Eastpointe, MI 48021-3264
Mailing Address19928 Edinberg Dr, Dept Of Medical EducationMacomb, MI 48044-2150
Phone(586) 777-0630
Fax(586) 777-0631
Sole ProprietorNo
Enumeration DateJuly 28, 2009
Last NPPES UpdateNovember 8, 2017
✔ NPI 1427289339 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 · 4301092621
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.
21409 KELLY RD STE 400, Eastpointe, MI 48021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tesfamariam Okbay Metiku M.d. 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 Reassignments

3

Medicare enrollment records show Tesfamariam Metiku reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sciometrix LLC
11 mi
General Practice
306 S WASHINGTON AVE STE 600
Royal Oak, MI 48067
  • Reassigned Medicare billing, Michigan enrollment
  • 97 clinicians in this Medicare group
NPI 1619649894 (860) 335-5064
Great Lakes Medical Group PC
18 mi
Internal Medicine
19070 E 10 MILE RD
Eastpointe, MI 48021
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1053787853 (313) 418-9952
Great Lakes Urgent Care PC Of Eastside
18 mi
Internal Medicine
19070 E 10 MILE RD
Eastpointe, MI 48021
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1477978930 (586) 773-1383

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 48021 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.

Other Providers at the Same Location NPPES

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

INTERNAL MEDICINE SPECIALTIES PC
Internal Medicine
21409 KELLY RD STE 400
EASTPOINTE, MI 48021
Macomb County (586) 777-0630

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 Tesfamariam Metiku's NPI number?

The NPI number for Tesfamariam Metiku is 1427289339. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Tesfamariam Metiku located?

Tesfamariam Metiku practices at 21409 Kelly Rd Ste 400, Eastpointe, MI 48021. The listed phone number is (586) 777-0630.

What is Tesfamariam Metiku's specialty?

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

Is Tesfamariam Metiku enrolled in Medicare?

Yes. Tesfamariam Metiku is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tesfamariam Metiku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tesfamariam Metiku reassigns Medicare benefits to 3 organizations: Sciometrix LLC (Royal Oak, MI), Great Lakes Medical Group PC (Eastpointe, MI) and Great Lakes Urgent Care PC Of Eastside (Eastpointe, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tesfamariam Metiku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tesfamariam Metiku accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tesfamariam Metiku 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 Tesfamariam Metiku was last updated on November 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.