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HICHAM CHURBAJI MD
NPI 1629023924
Internal Medicine in Gladwin, MI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
67.92/100
CMS Quality Rating
2137 W M 61, GLADWIN, MI 48624(989) 426-9399(989) 246-2257 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hicham Churbaji Md NPPES

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

HICHAM CHURBAJI MD (NPI 1629023924) is an individual internal medicine provider in Gladwin, Michigan, licensed in Michigan (HC065531) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1629023924
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHICHAM CHURBAJICredential: MD
Location Address2137 W M 61Gladwin, MI 48624-8463
Mailing Address3061 Christy WaySaginaw, MI 48603-2267 · (989) 791-2455 · Fax (989) 791-1392
Phone(989) 426-9399
Fax(989) 246-2257
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 15, 2008
✔ NPI 1629023924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · HC065531
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.
2137 W M 61, Gladwin, MI 48624
Open in Google Maps ↗

Other Identifiers 6

Medicaid1629023924MI
Medicare UPINH22298MI
Medicare PIN110225506MI
Other383567566100MI · Community Choice
Medicare PIN0N89940001MI
Other110B610050MI · Bcbs Of Michigan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Hicham Churbaji Md 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 ID6103809025
PECOS Enrollment IDI20080130000378
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
614 services563 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
498 services391 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
163 services157 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
30 services30 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48624 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.16
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
14%21 patients4/55-star benchmark: 100%
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
91%22 patients
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
100%33 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf L0172
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$118.67 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 4

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

MID MICHIGAN DIAGNOSTIC CORP
Radiology (Diagnostic Radiology)
2137 W M 61
GLADWIN, MI 48624
Gladwin County (810) 742-8770
GLADWIN FAMILY PRACTICE
Licensed Practical Nurse
2137 W M 61
GLADWIN, MI 48624
Gladwin County (989) 426-9399
MCLAREN CENTRAL MICHIGAN
Clinic/Center (Rural Health)
2137 W M 61
GLADWIN, MI 48624
Gladwin County (989) 426-0810
GLADWIN FAMILY CARE CENTER
Specialist
2137 W M 61
GLADWIN, MI 48624
Gladwin County (989) 426-9399

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 Hicham Churbaji's NPI number?

The NPI number for Hicham Churbaji is 1629023924. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Hicham Churbaji located?

Hicham Churbaji practices at 2137 W M 61, Gladwin, MI 48624. The listed phone number is (989) 426-9399.

What is Hicham Churbaji's specialty?

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

Is Hicham Churbaji enrolled in Medicare?

Yes. Hicham Churbaji 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 Hicham Churbaji accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hicham Churbaji 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 Hicham Churbaji affiliated with any hospitals?

According to CMS data, Hicham Churbaji is affiliated with Piedmont Walton Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Hicham Churbaji was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.