ASHISH VERMA MD
NPI 1649238213
Internal Medicine - Endocrinology, Diabetes & Metabolism in Shelby Twp, MI

Q: What is Ashish Verma's NPI number?

The NPI number for Ashish Verma is 1649238213. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Ashish Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Ashish Verma was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment

2177 AUBURN RD, SHELBY TWP, MI 48317(586) 737-7520(586) 737-7591 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ashish Verma Md NPPES

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

ASHISH VERMA MD (NPI 1649238213) is an individual endocrinology, diabetes & metabolism provider in Shelby Twp, Michigan, licensed in Michigan (4301066588) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1649238213

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameASHISH VERMACredential: MD

Location Address2177 AUBURN RDShelby Twp, MI 48317-3806

Mailing Address2177 Auburn RdShelby Twp, MI 48317-3806 · (586) 737-7520 · Fax (586) 737-7591

Phone(586) 737-7520

Fax(586) 737-7591

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateMay 3, 2006

Last NPPES UpdateFebruary 9, 2017

✔ NPI 1649238213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MI · 4301066588

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301066588 (MI)

2177 AUBURN RD, Shelby Twp, MI 48317

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Other Identifiers 4

Medicare UPINH41113

Medicare PINMI6729MI

Other1106352561MI · Bcbs

Medicaid1649238213MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ashish Verma 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 ID6204884349

PECOS Enrollment IDI20050105001009

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 12

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 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.

1,450 services599 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.

1,303 services206 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.

707 services342 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

283 services129 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

225 services205 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

80 services55 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.

61 services50 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.

59 services59 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

56 services55 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

53 services47 patients

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.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI

OwnershipVoluntary non-profit - Church

CMS Certification Number231315

Location420 W High StDowagiac, MI 49047 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48317 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

7 suppliers48 claims592 services$17.84 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers45 claims1,381 services$2.32 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

2 suppliers21 claims21 services$175.10 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

45 suppliers213 claims910 services$6.51 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers25 claims27 services$2.48 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

5 suppliers17 claims17 services$1.69 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.

ENDOCRINE AND METABOLIC DISORDERS CENTER PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2177 AUBURN RD
SHELBY TWP, MI 48317

Macomb County (586) 737-7520

TSEGA NEGASSI TESFAY

Nurse Practitioner

2177 AUBURN RD
SHELBY TOWNSHIP, MI 48317

Macomb County (586) 731-7520

FAIZA KHAN

Physician Assistant

2177 AUBURN RD
SHELBY TOWNSHIP, MI 48317

Macomb County (586) 737-7520

KORY JOSEPHINE WELLS PA-C

Physician Assistant

2177 AUBURN RD
SHELBY TWP, MI 48317

Macomb County (586) 737-7520

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 Ashish Verma's NPI number?

The NPI number for Ashish Verma is 1649238213. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Ashish Verma located?

Ashish Verma practices at 2177 Auburn Rd, Shelby Twp, MI 48317. The listed phone number is (586) 737-7520.

What is Ashish Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ashish Verma enrolled in Medicare?

Yes. Ashish Verma 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 Ashish Verma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Ashish Verma 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 Ashish Verma affiliated with any hospitals?

According to CMS data, Ashish Verma is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Beaumont Hospital - Grosse Pointe, Beaumont Hospital, Troy and Ascension Borgess Lee Hospital.

When was this NPI record last updated?

The NPPES record for Ashish Verma was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.