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MR. ALFREDO CARLO NAVARRO-TOLEDO P.A.
NPI 1508176215
Physician Assistant in Troy, MI

Active since October 15, 2010PECOS EnrolledAccepts Medicare Assignment
38865 DEQUINDRE RD STE 106, TROY, MI 48083(248) 720-2626(248) 720-2020 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Alfredo Carlo Navarro-toledo P.a. NPPES

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

MR. ALFREDO CARLO NAVARRO-TOLEDO P.A. (NPI 1508176215) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601005780) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1508176215
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALFREDO CARLO NAVARRO-TOLEDOCredential: P.A.
Location Address38865 DEQUINDRE RD STE 106Troy, MI 48083-6812
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(248) 720-2626
Fax(248) 720-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 15, 2010
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1508176215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005780
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
38865 DEQUINDRE RD STE 106, Troy, MI 48083
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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 and more.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

Mr. Alfredo Carlo Navarro-toledo P.a. 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 ID7012148042
PECOS Enrollment IDI20140314001737
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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services24 patients
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.
23 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48083 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims28 services$5.79 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 3

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

AMY TOURNOUX LMSW
Social Worker
38865 DEQUINDRE RD STE 106
TROY, MI 48083
Oakland County (248) 720-2626
AHMED MICHAEL BEYDOUN MD
Family Medicine
38865 DEQUINDRE RD STE 106
TROY, MI 48083
Oakland County (248) 720-2626
ZENIA MAQBOOL M.D.
Family Medicine
38865 DEQUINDRE RD STE 106
TROY, MI 48083
Oakland County (248) 720-2626

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 Alfredo Navarro-toledo's NPI number?

The NPI number for Alfredo Navarro-toledo is 1508176215. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Alfredo Navarro-toledo located?

Alfredo Navarro-toledo practices at 38865 Dequindre Rd Ste 106, Troy, MI 48083. The listed phone number is (248) 720-2626.

What is Alfredo Navarro-toledo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alfredo Navarro-toledo enrolled in Medicare?

Yes. Alfredo Navarro-toledo 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 Alfredo Navarro-toledo 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 2 other insurers list Alfredo Navarro-toledo 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 Alfredo Navarro-toledo affiliated with any hospitals?

According to CMS data, Alfredo Navarro-toledo is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Alfredo Navarro-toledo was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.