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DR. MICHAEL ABOU JONES M.D.
NPI 1538220199
Internal Medicine in New York, NY

Active since December 13, 2006PECOS Enrolled
450 FASHION AVE STE 309, NEW YORK, NY 10123(212) 594-0423(212) 594-2468 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Abou Jones M.d. NPPES

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

DR. MICHAEL ABOU JONES M.D. (NPI 1538220199) is an individual internal medicine provider in New York, New York, licensed in New York (172400) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1538220199
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL ABOU JONESCredential: M.D.
Location Address450 FASHION AVE STE 309New York, NY 10123-0309
Mailing Address450 Fashion Ave Ste 309New York, NY 10123-0309 · (212) 594-0423 · Fax (212) 594-2468
Phone(212) 594-0423
Fax(212) 594-2468
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538220199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 172400
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.
450 FASHION AVE STE 309, New York, NY 10123
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Other Identifiers 3

Medicare UPINC06017NY
MedicaidI DO NOT KNOW #NY
Medicare ID-Type Unspecified15E571NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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. Michael Abou Jones M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456650332
PECOS Enrollment IDI20190823000869
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 Reassignment

Medicare enrollment records show Michael Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elbowoods Memorial Health Center
1,486 mi
Clinic/Center
1251 ELBOWOODS LOOP
New Town, ND 58763
  • Reassigned Medicare billing, North Dakota enrollment
  • 51 clinicians in this Medicare group
NPI 1831365519 (701) 627-4750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
63 services42 patients
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.
59 services39 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services33 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
34 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services25 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.
27 services19 patients

Hospital Affiliations CMS Care Compare

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

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10123 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier19 claims19 services$119.65 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$38.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Jones's NPI number?

The NPI number for Michael Jones is 1538220199. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Michael Jones located?

Michael Jones practices at 450 Fashion Ave Ste 309, New York, NY 10123. The listed phone number is (212) 594-0423.

What is Michael Jones's specialty?

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

Is Michael Jones enrolled in Medicare?

Yes. Michael Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jones reassigns Medicare benefits to Elbowoods Memorial Health Center (New Town, ND). The 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 Michael Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Jones accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas and Sanford Health Plan list Michael Jones 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 Michael Jones affiliated with any hospitals?

According to CMS data, Michael Jones is affiliated with Trinity Hospitals.

When was this NPI record last updated?

The NPPES record for Michael Jones was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.