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DR. ABELARDO G. CONTRERAS M. D.
NPI 1619007168
Psychiatry & Neurology - Neurology in West Bloomfield, MI

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
PO BOX 252375, WEST BLOOMFIELD, MI 48325(586) 991-5088(248) 977-4549 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Feb 26, 2016 (2 updates tracked since 2016).

About Dr. Abelardo G. Contreras M. D. NPPES

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

DR. ABELARDO G. CONTRERAS M. D. (NPI 1619007168) is an individual neurology provider in West Bloomfield, Michigan, licensed in Michigan (4301038584) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1619007168
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ABELARDO G. CONTRERASCredential: M. D.
Location AddressPO BOX 252375West Bloomfield, MI 48325-2375
Mailing AddressP.o. Box 252375West Bloomfield, MI 48325-2375 · Fax (248) 977-4549
Phone(586) 991-5088
Fax(248) 977-4549
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateMarch 6, 2007
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1619007168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 4301038584
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
PO BOX 252375, West Bloomfield, MI 48325
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Other Identifiers 2

Other0633624MI · Bcbs
Medicaid1430383MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Abelardo G. Contreras 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 ID2860654084
PECOS Enrollment IDI20120504000580
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
85 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services41 patients

Hospital Affiliations CMS Care Compare

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48325 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.

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 Abelardo Contreras's NPI number?

The NPI number for Abelardo Contreras is 1619007168. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Abelardo Contreras located?

Abelardo Contreras practices at PO Box 252375, West Bloomfield, MI 48325. The listed phone number is (586) 991-5088.

What is Abelardo Contreras's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Abelardo Contreras enrolled in Medicare?

Yes. Abelardo Contreras 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 Abelardo Contreras accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Abelardo Contreras 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 Abelardo Contreras affiliated with any hospitals?

According to CMS data, Abelardo Contreras is affiliated with Sinai-Grace Hospital.

When was this NPI record last updated?

The NPPES record for Abelardo Contreras was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.