KARIM ELGHAWY M.D.
NPI 1689052789
Pediatrics in Jackson, MI

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
505 N JACKSON ST, JACKSON, MI 49201(517) 748-5500 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2019, Oct 1, 2019, Mar 21, 2019 (3 updates tracked since 2019).

About Karim Elghawy M.d. NPPES

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

KARIM ELGHAWY M.D. (NPI 1689052789) is an individual pediatrics provider in Jackson, Michigan, licensed in Michigan (4301108547) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689052789
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKARIM ELGHAWYCredential: M.D.
Location Address505 N JACKSON STJackson, MI 49201-1266
Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 11, 2015
Last NPPES UpdateNovember 4, 20193 updates tracked since enumeration
NPI 1689052789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 4301108547
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 4301108547 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301108547 (MI)
505 N JACKSON ST, Jackson, MI 49201

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

Karim Elghawy 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 ID2961710868
PECOS Enrollment IDI20191002002630
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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

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.

Social Worker (Clinical)
505 N JACKSON ST
JACKSON, MI 49201
Nurse Practitioner (Family)
505 N JACKSON ST
JACKSON, MI 49201
Obstetrics & Gynecology
505 N JACKSON ST
JACKSON, MI 49201
Family Medicine
505 N JACKSON ST
JACKSON, MI 49201
Internal Medicine
505 N JACKSON ST
JACKSON, MI 49201
Community Health Worker
505 N JACKSON ST
JACKSON, MI 49201
Dentist
505 N JACKSON ST
JACKSON, MI 49201
Social Worker (Clinical)
505 N JACKSON ST
JACKSON, MI 49201

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 Karim Elghawy's NPI number?

The NPI number for Karim Elghawy is 1689052789. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Karim Elghawy located?

Karim Elghawy practices at 505 N Jackson St, Jackson, MI 49201. The listed phone number is (517) 748-5500.

What is Karim Elghawy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karim Elghawy enrolled in Medicare?

Yes. Karim Elghawy 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 Karim Elghawy 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 3 other insurers list Karim Elghawy 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 Karim Elghawy affiliated with any hospitals?

According to CMS data, Karim Elghawy is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Karim Elghawy was last updated on November 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.