WAEL REFAI (MD) – Gastroenterology Physician, NPI 1205926789
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
648 GASTROENTEROLOGY in MI
Provider Addresses for WAEL REFAI (MD)
1701 South Blvd E Ste 300
Center for Digestive Health
Rochester Hills, MI 483076120
Phone: (248) 844-9710
Fax: (248) 844-9711
Type: Location
15500 19 MILE RD STE 360
CLINTON TOWNSHIP, MI 48038
Phone: (586) 649-9009
Type: Location
133, South Main Street, Mount Clemens, Macomb County, Michigan, 48043, United States
MOUNT CLEMENS, MI 480432308
Phone: (586) 329-1880
Fax: (586) 329-1880
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,097.
Total Amount is formed as General ($1,097) + Research ($0) + Ownership ($0) = $1,097.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($286).
Total Amount
$1,097
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,097
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100218000586 | I | Gastroenterology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 99 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 82 | 81 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 81 | 81 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 77 | 75 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 65 | 32 | $0 |
Insurance plans in this area (ZIP 48307)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MI | 45385 | Removal of polyps or growths of large bowel using an endoscope | 51 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Internal Medicine | KY | |
| Family Practice | MI | |
| Physician Assistant | MI |
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