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AFREEN ABRAHAM MD
NPI 1811559172
Pediatrics in Mount Pleasant, MI

Active since July 07, 2019PECOS Enrolled
1201 SOUTH DR STE 341, MOUNT PLEASANT, MI 48858(989) 953-5313(989) 953-5316 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Jul 7, 2019 (2 updates tracked since 2019).

About Afreen Abraham Md NPPES

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

AFREEN ABRAHAM MD (NPI 1811559172) is an individual pediatrics provider in Mount Pleasant, Michigan, licensed in Michigan (4301513168) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811559172
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAFREEN ABRAHAMCredential: MD
Location Address1201 SOUTH DR STE 341Mount Pleasant, MI 48858-3255
Mailing Address1201 South Dr Ste 341Mount Pleasant, MI 48858-3255 · (989) 953-5313
Phone(989) 953-5313
Fax(989) 953-5316
Sole ProprietorNo
Enumeration DateJuly 7, 2019
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1811559172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301513168
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.
1201 SOUTH DR STE 341, Mount Pleasant, MI 48858
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Afreen Abraham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Afreen Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mclaren Central Michigan
Same address
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
NPI 1245266063 (989) 772-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48858 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

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

THOMSON SAM VARGHESE
Internal Medicine (Pulmonary Disease)
1201 SOUTH DR STE 341
MT PLEASANT, MI 48858
Isabella County (989) 772-6700

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 Afreen Abraham's NPI number?

The NPI number for Afreen Abraham is 1811559172. It was assigned to this individual provider in the NPPES registry on July 7, 2019.

Where is Afreen Abraham located?

Afreen Abraham practices at 1201 South Dr Ste 341, Mount Pleasant, MI 48858. The listed phone number is (989) 953-5313.

What is Afreen Abraham's specialty?

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

Is Afreen Abraham enrolled in Medicare?

Yes. Afreen Abraham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Afreen Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Afreen Abraham reassigns Medicare benefits to Mclaren Central Michigan (Mt Pleasant, MI). The 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 Afreen Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Afreen Abraham 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 Afreen Abraham 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.

When was this NPI record last updated?

The NPPES record for Afreen Abraham was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.