MAZEN ELATRACHE MD – NPI #1104118397
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

MAZEN ELATRACHE is a physician located in DEARBORN, MI. NPPES has assigned the NPI number 1104118397 to MAZEN ELATRACHE on May 06, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 3 years ago on Feb 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAZEN ELATRACHE below.

NPI Profile for
MAZEN ELATRACHE

NPI Number
1104118397
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MAZEN ELATRACHE
Credentials
MD
Primary location
19401 HUBBARD DR
HENRY FORD FAIRLANE MEDICAL CENTER
DEARBORN, MI 48126
Phone: (313) 982-9307 Fax: (313) 982-8320
1 Other location(s):
2799 W Grand Blvd
Henry Ford Hospital
Detroit, MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 982-8320
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 MI 4301098217
207R00000X
- Internal Medicine		 MI 4301098217

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2799 W GRAND BLVD,
DETROIT, MI 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MAZEN ELATRACHE is affiliated with the following medical group(s):
  • HOSPITAL
    • HENRY FORD HOSPITAL
      2799 W GRAND BLVD
      DETROIT, MI 48202
    • HENRY FORD WEST BLOOMFIELD HOSPITAL
      6777 WEST MAPLE ROAD
      WEST BLOOMFIELD, MI 48322
    • HENRY FORD WYANDOTTE HOSPITAL
      2333 BIDDLE AVE
      WYANDOTTE, MI 48192

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.