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CECILIA KRAUS-HORBAL
NPI 1821451600
Internal Medicine in Saginaw, MI

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
1015 S WASHINGTON AVE, SAGINAW, MI 48601(989) 746-7500 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Nov 22, 2023, Oct 5, 2023 and 3 more (6 updates tracked since 2016).

About Cecilia Kraus-horbal NPPES

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

CECILIA KRAUS-HORBAL (NPI 1821451600) is an individual internal medicine provider in Saginaw, Michigan, licensed in Michigan (5101024881) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821451600
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCECILIA KRAUS-HORBAL
Location Address1015 S WASHINGTON AVESaginaw, MI 48601-2556
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 746-7500
Phone(989) 746-7500
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateJanuary 9, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1821451600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5101024881
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.
1015 S WASHINGTON AVE, Saginaw, MI 48601
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Secondary Practice Locations 2

Location 12799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-2600
Location 21000 Houghton AveSaginaw, MI 48602-5303 · Phone (989) 746-7869

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cecilia Kraus-horbal 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 ID5890089411
PECOS Enrollment IDI20190808002022
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 6

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.
74 services53 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.
31 services26 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.
27 services27 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48601 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.

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.

MICHIGAN CARDIOVASCULAR INSTITUTE, PC
Internal Medicine (Cardiovascular Disease)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 754-3000
MARY ONSI ATTALLA MD
Internal Medicine
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 746-7681
MYMICHIGAN MEDICAL CENTER SAGINAW
Internal Medicine (Rheumatology)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 753-5300
MR. MICHAEL VINCENT MICHALAK P.A.
Physician Assistant
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 754-3000
MRS. MEGAN LYNN KAPP FNP
Nurse Practitioner (Family)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 746-7500
SHRINIVAS KAMBALI MD
Internal Medicine (Pulmonary Disease)
1015 S WASHINGTON AVE, SUITE D
SAGINAW, MI 48601
Saginaw County (989) 907-7636
LU CHEN M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 754-3000
RUBY FRAY
Physician Assistant
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Saginaw County (989) 754-3000

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 Cecilia Kraus-horbal's NPI number?

The NPI number for Cecilia Kraus-horbal is 1821451600. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Cecilia Kraus-horbal located?

Cecilia Kraus-horbal practices at 1015 S Washington Ave, Saginaw, MI 48601. The listed phone number is (989) 746-7500.

What is Cecilia Kraus-horbal's specialty?

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

Is Cecilia Kraus-horbal enrolled in Medicare?

Yes. Cecilia Kraus-horbal 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 Cecilia Kraus-horbal 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 Cecilia Kraus-horbal 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 Cecilia Kraus-horbal affiliated with any hospitals?

According to CMS data, Cecilia Kraus-horbal is affiliated with Covenant Medical Center and Ascension St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Cecilia Kraus-horbal was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.