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DR. LILY SABOURI D.O.
NPI 1952538613
Family Medicine in Essexville, MI

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
700 BOSTON AVE, ESSEXVILLE, MI 48732(989) 894-2926(989) 894-2499 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lily Sabouri D.o. NPPES

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

DR. LILY SABOURI D.O. (NPI 1952538613) is an individual family medicine provider in Essexville, Michigan, licensed in Michigan (5101018137) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Michigan State University College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1952538613
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LILY SABOURICredential: D.O.
Location Address700 BOSTON AVEEssexville, MI 48732-3110
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1590
Phone(989) 894-2926
Fax(989) 894-2499
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateAugust 30, 2012
✔ NPI 1952538613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101018137
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 BOSTON AVE, Essexville, MI 48732
Open in Google Maps ↗

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. Lily Sabouri D.o. 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 ID9830341734
PECOS Enrollment IDI20121128000297
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

2

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

Mclaren Bay Region
2.9 mi
Family Medicine
1480 W CENTER RD STE 5
Essexville, MI 48732
  • Reassigned Medicare billing, Michigan enrollment
  • 250 clinicians in this Medicare group
NPI 1780722785 (989) 895-4625
Mclaren Medical Group
7.4 mi
Advanced Practice Midwife
3175 PROFESSIONAL CT
Bay City, MI 48706
  • Reassigned Medicare billing, Michigan enrollment
  • 416 clinicians in this Medicare group
NPI 1528100781 (989) 667-6325

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 4

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.
216 services112 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.
59 services42 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.
58 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48732 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
8 suppliers37 claims83 services$6.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims20 services$1.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers12 claims26 services$20.53 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims44 services$2.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers27 claims27 services$81.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$32.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lily Sabouri's NPI number?

The NPI number for Lily Sabouri is 1952538613. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Lily Sabouri located?

Lily Sabouri practices at 700 Boston Ave, Essexville, MI 48732. The listed phone number is (989) 894-2926.

What is Lily Sabouri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lily Sabouri enrolled in Medicare?

Yes. Lily Sabouri 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 Lily Sabouri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Sabouri reassigns Medicare benefits to 2 organizations: Mclaren Bay Region (Essexville, MI) and Mclaren Medical Group (Bay City, 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 Lily Sabouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Sabouri 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 Lily Sabouri 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 Lily Sabouri affiliated with any hospitals?

According to CMS data, Lily Sabouri is affiliated with Mclaren Bay Region, Covenant Medical Center, Mclaren Central Michigan and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Lily Sabouri was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.