POUYA ENTEZAMI M.D.
NPI 1588058937
Neurological Surgery in Clinton Township, MI

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2300(313) 876-1305 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pouya Entezami M.d. NPPES

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

POUYA ENTEZAMI M.D. (NPI 1588058937) is an individual neurological surgery provider in Clinton Township, Michigan, licensed in Michigan (4301506804) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1588058937
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePOUYA ENTEZAMICredential: M.D.
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 876-4806 · Fax (313) 876-1305
Fax(313) 876-1305
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2015
Last NPPES UpdateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1588058937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · 4301506804
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 63597 (NY)
15855 19 MILE RD, Clinton Township, MI 48038

Secondary Practice Location 1

Location 147 New Scotland Ave, Dept of NeurosurgeryAlbany, NY 12208-3412 · Phone (518) 262-6679

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

Pouya Entezami M.d. 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 ID3971848813
PECOS Enrollment IDI20220902000714
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Spinal fusion NAN02
Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
0 services1 patient
Laminectomy or laminotomy (partial removal of spine bones) NAN18
A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
0 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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.

Nurse Practitioner
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Practitioner
15855 19 MILE RD, EMERGENCY MEDICINE DEPARTMENT
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Pharmacist
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Pathology (Anatomic Pathology & Clinical Pathology)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588058937, enumerated as an "individual" on March 24, 2015.

The provider is located at 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 and the phone number is (586) 263-2300.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Pouya Entezami is affiliated with: HENRY FORD MACOMB HOSPITAL, HENRY FORD HEALTH HOSPITAL and HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL.