DR. MARCEL E ZUGHAIB M.D.
NPI 1922038488
Internal Medicine - Interventional Cardiology in Southfield, MI

Q: What is Marcel Zughaib's NPI number?

The NPI number for Marcel Zughaib is 1922038488. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Marcel Zughaib's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Marcel Zughaib was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

80.53/100

CMS Quality Rating

22250 PROVIDENCE DR., #705, SOUTHFIELD, MI 48075(248) 552-9858(248) 552-9510 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Marcel E Zughaib M.d. NPPES

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

DR. MARCEL E ZUGHAIB M.D. (NPI 1922038488) is an individual interventional cardiology provider in Southfield, Michigan, licensed in Michigan (062985) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1922038488

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. MARCEL E ZUGHAIBCredential: M.D.

Location Address22250 PROVIDENCE DR., #705Southfield, MI 48075

Mailing Address22250 Providence Dr., #705Southfield, MI 48075 · (248) 552-9858 · Fax (248) 552-9510

Phone(248) 552-9858

Fax(248) 552-9510

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 3, 2006

Last NPPES UpdateJanuary 13, 2014

✔ NPI 1922038488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MI · 062985

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301062985 (MI)

22250 PROVIDENCE DR., Southfield, MI 48075

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Other Identifiers 5

Medicare UPINE16582

Medicare ID-Type Unspecified0M06660002MI

Medicaid3147857MI

Medicare UPINE16582MI

Medicare PINOF360210

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 and accepts Medicare assignment

Dr. Marcel E Zughaib 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 ID6608854039

PECOS Enrollment IDI20050622000284

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 Reassignments

Medicare enrollment records show Marcel Zughaib reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Providence Hospital

1.3 mi

Psychiatry

16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Henry Ford Health Providence Hospital
393 clinicians in this Medicare group

NPI 1619932670 (248) 849-3000

Michigan Kidney Consultants, P.C.

11 mi

Nephrology

5280 METROPOLITAN PKWY
Sterling Heights, MI 48310

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Michigan Kidney Consultants PC
64 clinicians in this Medicare group

NPI 1831130723 (248) 290-3111

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

Areas of Expertise CMS Part B claims 21

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.

383 services217 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

281 services146 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

190 services175 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

172 services149 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

163 services163 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

163 services163 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

162 services162 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

98 services98 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

98 services98 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

98 services98 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

86 services63 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

48 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

43 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

26 services26 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

23 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

14 services12 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

13 services13 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230019

Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County

Emergency services Birthing friendly

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230046

Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County

Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230069

Location620 Byron RdHowell, MI 48843 · Livingston County

Emergency services

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

80.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.56

Promoting Interoperability

100

Improvement Activities

Cost

61.55

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%356 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

MOMIN SAMAD

Student in an Organized Health Care Education/Training Program

22250 PROVIDENCE DR., SUITE #301A
SOUTHFIELD, MI 48075

Oakland County (248) 849-3254

SHARON TAN

Student in an Organized Health Care Education/Training Program

22250 PROVIDENCE DR., 3PMB SUITE #301
SOUTHFIELD, MI 48075

Oakland County (248) 849-3281

NATALIE IMAD DAKKI MD

Student in an Organized Health Care Education/Training Program

22250 PROVIDENCE DR., 3PMB SUITE #301
SOUTHFIELD, MI 48075

Oakland County (248) 849-3281

BRIANNA NICOLE CALLAHAN MD

Student in an Organized Health Care Education/Training Program

22250 PROVIDENCE DR., 3PMB SUITE #301
SOUTHFIELD, MI 48075

Oakland County (248) 849-3281

NADIA RAMIZ YOUSIF MD

Internal Medicine (Cardiovascular Disease)

22250 PROVIDENCE DR., SUITE 705
SOUTHFIELD, MI 48075

Oakland County (248) 552-9858

RESHAD SALAM

Internal Medicine

22250 PROVIDENCE DR., 3PMB SUITE #301
SOUTHFIELD, MI 48075

Oakland County (248) 849-3281

JOSEPH IMAD DAKKI MD

Student in an Organized Health Care Education/Training Program

22250 PROVIDENCE DR., 3PMB SUITE #301
SOUTHFIELD, MI 48075

Oakland County (248) 849-3281

GHAID GHASSAN YACOUB TOUZA M.D.

Student in an Organized Health Care Education/Training Program

22250 PROVIDENCE DR., 3PMB SUITE #301
SOUTHFIELD, MI 48075

Oakland County (248) 849-3281

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 Marcel Zughaib's NPI number?

The NPI number for Marcel Zughaib is 1922038488. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Marcel Zughaib located?

Marcel Zughaib practices at 22250 Providence Dr. #705, Southfield, MI 48075. The listed phone number is (248) 552-9858.

What is Marcel Zughaib's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Marcel Zughaib enrolled in Medicare?

Yes. Marcel Zughaib 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 Marcel Zughaib's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcel Zughaib reassigns Medicare benefits to 2 organizations: Ascension Providence Hospital (Southfield, MI) and Michigan Kidney Consultants, P.C. (Sterling Heights, 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 Marcel Zughaib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcel Zughaib 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 1 other insurer list Marcel Zughaib 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 Marcel Zughaib affiliated with any hospitals?

According to CMS data, Marcel Zughaib is affiliated with Ascension Providence Hospital, Southfield And Novi, University Of Michigan Health System, Henry Ford Health Hospital, Saint Joseph Mercy Livingston Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Marcel Zughaib was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.