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NATHANAEL RAFAEL SANCHEZ MD
NPI 1952961625
Family Medicine in Wayne, MI

Active since June 16, 2019PECOS EnrolledAccepts Medicare Assignment
33155 ANNAPOLIS ST, WAYNE, MI 48184(734) 467-2487 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Jun 16, 2019 (2 updates tracked since 2019).

About Nathanael Rafael Sanchez Md NPPES

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

NATHANAEL RAFAEL SANCHEZ MD (NPI 1952961625) is an individual family medicine provider in Wayne, Michigan, licensed in Michigan (4301506744) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1952961625
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHANAEL RAFAEL SANCHEZCredential: MD
Location Address33155 ANNAPOLIS STWayne, MI 48184-2405
Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849
Phone(734) 467-2487
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 16, 2019
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1952961625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 4301506744✔ Licensed in MI · 4351044540
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.
33155 ANNAPOLIS ST, Wayne, MI 48184
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Secondary Practice Location 1

Location 1950 N Main StRoyal Oak, MI 48067-1840 · Phone (248) 543-8111 · Fax (248) 543-8120

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

Nathanael Rafael Sanchez 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 ID941535751
PECOS Enrollment IDI20220712001672
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 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.
153 services65 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services29 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.
22 services22 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48184 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier12 claims12 services$64.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.57 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.

CHRISTOPHER LAJEUNESSE MD
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-2483
NASSRINE NAIM DO
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
ELIZABETH LEWANDOWSKI
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
DR. SUSAN HORLING D.O.
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY MEDICINE DEPARTMENT
WAYNE, MI 48184
Wayne County (734) 467-4042
MRS. KIMBERLY ANN HARBER CRNA
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
TERA MELANNE GOLDMAKHER MD
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY DEPT
WAYNE, MI 48184
Wayne County (734) 467-4042
KERRILY QUAY RN,MSN,ACAGNP-BC
Nurse Practitioner
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
STEPHEN VENABLE MD, MPH, RN
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000

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 Nathanael Sanchez's NPI number?

The NPI number for Nathanael Sanchez is 1952961625. It was assigned to this individual provider in the NPPES registry on June 16, 2019.

Where is Nathanael Sanchez located?

Nathanael Sanchez practices at 33155 Annapolis St, Wayne, MI 48184. The listed phone number is (734) 467-2487.

What is Nathanael Sanchez's specialty?

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

Is Nathanael Sanchez enrolled in Medicare?

Yes. Nathanael Sanchez 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 Nathanael Sanchez 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 Nathanael Sanchez 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 Nathanael Sanchez affiliated with any hospitals?

According to CMS data, Nathanael Sanchez is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Nathanael Sanchez was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.