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ASHA DOWNS D.O.
NPI 1518076348
Otolaryngology in Clarkston, MI

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
5701 BOW POINTE DR, SUITE 200, CLARKSTON, MI 48346(248) 620-3100(248) 620-3019 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Asha Downs D.o. NPPES

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

ASHA DOWNS D.O. (NPI 1518076348) is an individual otolaryngology provider in Clarkston, Michigan, licensed in Michigan (AD014235) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1518076348
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameASHA DOWNSCredential: D.O.
Location Address5701 BOW POINTE DR, SUITE 200Clarkston, MI 48346-3198
Mailing Address5701 Bow Pointe Dr, Suite 200Clarkston, MI 48346-3198 · (248) 620-3100 · Fax (248) 620-3019
Phone(248) 620-3100
Fax(248) 620-3019
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1999
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 16, 2009
✔ NPI 1518076348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · AD014235
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5701 BOW POINTE DR, Clarkston, MI 48346
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Other Identifiers 3

Medicaid4600610MI
Medicare PIN0M70570MI
Medicare UPINI06998MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Asha Downs D.o. 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 ID9931186053
PECOS Enrollment IDI20040706001259
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 8

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.
247 services128 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
86 services86 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
45 services11 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
24 services24 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.
22 services21 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.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Mclaren Lapeer Region

Acute Care Hospitals · Lapeer, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230193
Location1375 N Main StLapeer, MI 48446 · Lapeer County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$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.

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.

GARY S KWARTOWITZ D.O.
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 620-3100
CLARKSTON DERMATOLOGY & VEIN CENTER PLLC
Dermatology
5701 BOW POINTE DR, SUITE 215
CLARKSTON, MI 48346
Oakland County (248) 620-3376
NORTH OAKLAND EAR NOSE &THROAT CENTERS PC
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 620-3100
DR. TIMOTHY R ONEILL DO
Family Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Oakland County (248) 625-2621
MRS. SUSAN LOUISE CLARK NP
Nurse Practitioner (Psychiatric/Mental Health)
5701 BOW POINTE DR, SUITE 225
CLARKSTON, MI 48346
Oakland County (248) 384-8300
DR. SCOTT SIMECEK II D.O.
Internal Medicine (Pulmonary Disease)
5701 BOW POINTE DR, STE 365
CLARKSTON, MI 48346
Oakland County (248) 922-9283
WILLIAM E RIZZO MD
Internal Medicine
5701 BOW POINTE DR, SUITE 120
CLARKSTON, MI 48346
Oakland County (248) 625-2273
DR. NAVEEN GUNDA REDDY M.D.
Internal Medicine (Gastroenterology)
5701 BOW POINTE DR, SUITE 370
CLARKSTON, MI 48346
Oakland County (248) 625-4055

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 Asha Downs's NPI number?

The NPI number for Asha Downs is 1518076348. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Asha Downs located?

Asha Downs practices at 5701 Bow Pointe Dr Suite 200, Clarkston, MI 48346. The listed phone number is (248) 620-3100.

What is Asha Downs's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Asha Downs enrolled in Medicare?

Yes. Asha Downs 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 Asha Downs accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Asha Downs 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 Asha Downs affiliated with any hospitals?

According to CMS data, Asha Downs is affiliated with Trinity Health Oakland Hospital, Mclaren Lapeer Region and Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Asha Downs was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.