DR. AUGUSTO ERNESTO ELIAS (MD) – Neuroradiology Physician, NPI 1700906997

DR. AUGUSTO ERNESTO ELIAS (MD) is a healthcare provider. based in Wyoming, Michigan. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036130909 (IL). The NPI Number for DR. AUGUSTO ERNESTO ELIAS (MD) is 1700906997

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUGUSTO ERNESTO ELIAS (MD)
NPI
1700906997
Phone
(616) 252-7159
Address
5900 BYRON CENTER AVE SW
Enumeration Date
30 March 2007
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Secondary Phone
6166855050
Graduation Year
2005 (21 years ago)
PAC ID
1850569468
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20110727000073
Address ID
MI495034608GR220XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

219 INTERVENTIONAL RADIOLOGY in MI

Provider Addresses for DR. AUGUSTO ERNESTO ELIAS (MD)

  • 5900 BYRON CENTER AVE SW

    WYOMING, MI 495199606

    Phone: (616) 252-7159

    Fax: (616) 252-6990

    Type: Location

  • 601 John St Ste M-124

    Kalamazoo, MI 490075377

    Phone: (269) 341-7500

    Type: Location

  • 701 N 1st St

    Springfield, IL 627810001

    Phone: (217) 788-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $11,476.

Total Amount is formed as General ($11,476) + Research ($0) + Ownership ($0) = $11,476.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($11,042).

Total Amount

$11,476

General + Research + Ownership

Payments

31

Total payment records

General Amount

$11,476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110727000073IInterventional RadiologyMITBD
I20120911000788IDiagnostic RadiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. AUGUSTO ERNESTO ELIAS (MD)?
The federal identifier for DR. AUGUSTO ERNESTO ELIAS (MD) is NPI 1700906997.
Is DR. AUGUSTO ERNESTO ELIAS (MD) active in the national directory?
DR. AUGUSTO ERNESTO ELIAS (MD)'s public NPI profile is in an active state.
Does DR. AUGUSTO ERNESTO ELIAS (MD) list a primary specialty?
If you are matching referrals, note Neuroradiology Physician for DR. AUGUSTO ERNESTO ELIAS (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. AUGUSTO ERNESTO ELIAS (MD)?
We surface Wyoming, Michigan for DR. AUGUSTO ERNESTO ELIAS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.