NAWAL AZHARI ELBASHIR (MD) – Emergency Medicine Physician, NPI 1912520172

NAWAL AZHARI ELBASHIR (MD) is a healthcare provider. based in Mount clemens, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4351046848 (MI). The NPI Number for NAWAL AZHARI ELBASHIR (MD) is 1912520172

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NAWAL AZHARI ELBASHIR (MD)
NPI
1912520172
Phone
(586) 790-9003
Address
1000 HARRINGTON ST
Enumeration Date
22 May 2020
Last Update Date
9 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184368000
Graduation Year
2019 (7 years ago)
PAC ID
1557783149
Group Practice PAC ID
2163672650
Professional Enrollment ID
I20231101003104
Address ID
IL628013056CE400XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for NAWAL AZHARI ELBASHIR (MD)

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 790-9003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231101003104IEmergency MedicineILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6161$0
99284Emergency department visit with moderate level of medical decision making2827$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

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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: 2163672650View full group profile
NameSpecialtyState
Family PracticeSD
-IL
Emergency MedicineMO
Nurse PractitionerIL
Nurse PractitionerIL
Emergency MedicineMO
Emergency MedicineTX
Emergency MedicineMO
Emergency MedicineKY
Emergency MedicineMI

Reviews

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Frequently asked questions

What federal number belongs to NAWAL AZHARI ELBASHIR (MD)?
The federal identifier for NAWAL AZHARI ELBASHIR (MD) is NPI 1912520172.
Is NAWAL AZHARI ELBASHIR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NAWAL AZHARI ELBASHIR (MD)?
The page reflects Emergency Medicine Physician for NAWAL AZHARI ELBASHIR (MD). Clinical services aligned with this taxonomy classification.
What location shows for NAWAL AZHARI ELBASHIR (MD)?
We surface Mount Clemens, Michigan for NAWAL AZHARI ELBASHIR (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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