MEDICARE: MR. SAMIR AQEL ELIAN M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	4301075121	MI
2	207RI0011X	Interventional Cardiology Physician	16543	WV

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	0N95010	OTHER	MI	MEDICARE PTAN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0602511071	OTHER	MI	BLUE CROSS BLUE SHIELD
2	0998649	OTHER	MI	HEALTH PLUS
3	320112688	OTHER	MI	UNITED HEALTH CARE
4	320112688	OTHER	MI	PPOM
5	320112688	OTHER	MI	TRICARE/HEALTH NET
6	E91688	OTHER	MI	HEALTH ALLIANCE PLAN
7	P00164039	OTHER	MI	PALMETTO GBA RAILROAD
8	0251107	OTHER	MI	BLUE CARE NETWORK
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1010990	OTHER	MI	MCLAREN HEALTH ADVANTAGE
12	16457	OTHER	MI	M-CARE
13	5917178	OTHER	MI	AETNA
14	138398	OTHER	MI	PREFERRED CHOICE PPO
15	7379343	OTHER	MI	CIGNA

NPI Number	:	1548235369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAMIR AQEL ELIAN M.D.

Provider Business Mailing Address
First Line	:	5336 TIMBERWOOD POINT DR
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-2266
Country	:	US
Telephone Number	:	810-230-9082
Fax Number	:

Provider Business Practice Location Address
First Line	:	4455 TOWN CENTER PKWY
Second Line	:	SUITE A
City	:	FLINT
State	:	MI
Zip	:	48532-3425
Country	:	US
Telephone Number	:	810-720-3370
Fax Number	:	810-720-3367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	06/19/2025

4455 TOWN CENTER PKWY , SUITE A
FLINT, MI
48532-3425

Practice Phone: 810-720-3370
Practice Fax: 810-720-3367

4499 TOWN CENTER PKWY
FLINT, MI
48532-3425