KARIM ELGHAWY M.D.
NPI 1689052789
Pediatrics in Jackson, MI
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Karim Elghawy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- 50 clinicians in this Medicare group
Hillsdale, MI 49242
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Kalamazoo, MI 49008
- Reassigned Medicare billing, Michigan enrollment
- 151 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIPhysician 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.
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.
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.
Which organizations bill Medicare for Karim Elghawy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karim Elghawy reassigns Medicare benefits to 3 organizations: Center For Family Health (Jackson, MI), Advanced Veins And Vascular Management Plc (Hillsdale, MI) and Western Michigan University School Of Medicine (Kalamazoo, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karim Elghawy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Karim Elghawy, M.D. · NPI 1689052789
Pediatrics physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since May 11, 2015.
## Identity
- **NPI:** 1689052789 (Entity type: Individual)
- **Enumerated:** May 11, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301108547 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 N JACKSON ST, Jackson, MI 49201-1266
- **Phone:** (517) 748-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Center For Family Health (NPI 1780784439, Jackson, MI); Advanced Veins And Vascular Management Plc (NPI 1972158566, Hillsdale, MI); Western Michigan University School Of Medicine (NPI 1316212343, Kalamazoo, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1689052789) · Data from the CMS NPPES public registry.