NAVEED MAHFOOZ MD
NPI 1780639450
Internal Medicine in Caro, MI

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
1525 W CARO RD, CARO, MI 48723(989) 672-2100(989) 672-0748 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Feb 7, 2019, Jun 30, 2016 (3 updates tracked since 2016).

About Naveed Mahfooz Md NPPES

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

NAVEED MAHFOOZ MD (NPI 1780639450) is an individual internal medicine provider in Caro, Michigan, licensed in Michigan (4301059644) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1780639450
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNAVEED MAHFOOZCredential: MD
Location Address1525 W CARO RDCaro, MI 48723-9260
Mailing Address1525 W Caro RdCaro, MI 48723-9686 · (989) 672-2100
Fax(989) 672-0748
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1780639450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301059644
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301059644 (MI)
1525 W CARO RD, Caro, MI 48723

Other Identifiers 3

Medicaid1689022469MI
Medicaid4800281MI
Medicaid1659326395MI

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

Naveed Mahfooz 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 ID9830158609
PECOS Enrollment IDI20050606000749
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 69

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.
2,305 services661 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,233 services198 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.
1,014 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
916 services148 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.
912 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
466 services466 patients

Hospital Affiliations CMS Care Compare 5

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

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

Hills & Dales General Hospital

Critical Access Hospitals · Cass City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231316
Location4675 Hill StreetCass City, MI 48726 · Tuscola County
Emergency services

Mclaren Caro Region

Critical Access Hospitals · Caro, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231329
Location401 N Hooper StCaro, MI 48723 · Tuscola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48723 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.

Referred Medical Equipment & Supplies CMS DME claims 46

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers100 claims265 services$6.24 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers13 claims13 services$2.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers49 claims74 services$1.13 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier13 claims26 services$5.11 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
4 suppliers18 claims370 services$5.69 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
3 suppliers17 claims340 services$3.31 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 20

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

Social Worker
1525 W CARO RD
CARO, MI 48723
Internal Medicine
1525 W CARO RD
CARO, MI 48723
Physical Therapy Assistant
1525 W CARO RD
CARO, MI 48723
Nurse Practitioner (Family)
1525 W CARO RD
CARO, MI 48723
Nurse Practitioner
1525 W CARO RD
CARO, MI 48723
Nurse Practitioner (Gerontology)
1525 W CARO RD
CARO, MI 48723
Physiological Laboratory
1525 W CARO RD
CARO, MI 48723
Nurse Practitioner (Gerontology)
1525 W CARO RD
CARO, MI 48723

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 Naveed Mahfooz's NPI number?

The NPI number for Naveed Mahfooz is 1780639450. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Naveed Mahfooz located?

Naveed Mahfooz practices at 1525 W Caro Rd, Caro, MI 48723. The listed phone number is (989) 672-2100.

What is Naveed Mahfooz's specialty?

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

Is Naveed Mahfooz enrolled in Medicare?

Yes. Naveed Mahfooz 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 Naveed Mahfooz 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 Naveed Mahfooz 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 Naveed Mahfooz affiliated with any hospitals?

According to CMS data, Naveed Mahfooz is affiliated with Covenant Medical Center, Ascension St Mary's Hospital, Memorial Healthcare, Hills & Dales General Hospital and Mclaren Caro Region.

When was this NPI record last updated?

The NPPES record for Naveed Mahfooz was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.