ASHRAF M ELBANNA M.D.
NPI 1710208947
Orthopaedic Surgery in Owosso, MI

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
56.42/100
CMS Quality Rating
113 E WILLIAMS ST, OWOSSO, MI 48867(989) 725-6101(989) 723-3601 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashraf M Elbanna M.d. NPPES

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

ASHRAF M ELBANNA M.D. (NPI 1710208947) is an individual orthopaedic surgery provider in Owosso, Michigan, licensed in Michigan (4301097084) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Wayne State University School Of Medicine (2010).

NPPES Registry Identity

NPI1710208947
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameASHRAF M ELBANNACredential: M.D.
Location Address113 E WILLIAMS STOwosso, MI 48867-2360
Mailing Address113 E Williams StOwosso, MI 48867-2360 · (989) 725-6101 · Fax (989) 723-3601
Fax(989) 723-3601
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateAugust 31, 2016
NPI 1710208947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301097084
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
113 E WILLIAMS ST, Owosso, MI 48867

Other Identifiers 2

Medicaid1710208947MI
Medicare PINN53550117MI

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

Ashraf M Elbanna 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 ID2769614940
PECOS Enrollment IDI20160701000479
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
118 services70 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.
102 services84 patients
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.
87 services70 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.
65 services65 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
52 services45 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
45 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

Other Providers at the Same Location NPPES 10

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

Physician Assistant
113 E WILLIAMS ST
OWOSSO, MI 48867
Physical Therapist
113 E WILLIAMS ST
OWOSSO, MI 48867
Physical Therapist
113 E WILLIAMS ST
OWOSSO, MI 48867
Orthopaedic Surgery
113 E WILLIAMS ST
OWOSSO, MI 48867
Orthopaedic Surgery
113 E WILLIAMS ST
OWOSSO, MI 48867
Specialist/Technologist (Athletic Trainer)
113 E WILLIAMS ST
OWOSSO, MI 48867
Orthopaedic Surgery
113 E WILLIAMS ST
OWOSSO, MI 48867
Durable Medical Equipment & Medical Supplies
113 E WILLIAMS ST
OWOSSO, MI 48867

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 Ashraf Elbanna's NPI number?

The NPI number for Ashraf Elbanna is 1710208947. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Ashraf Elbanna located?

Ashraf Elbanna practices at 113 E Williams St, Owosso, MI 48867. The listed phone number is (989) 725-6101.

What is Ashraf Elbanna's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ashraf Elbanna enrolled in Medicare?

Yes. Ashraf Elbanna 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 Ashraf Elbanna accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Ashraf Elbanna 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 Ashraf Elbanna affiliated with any hospitals?

According to CMS data, Ashraf Elbanna is affiliated with Memorial Healthcare and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Ashraf Elbanna was last updated on August 31, 2016. 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.