Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mazen Elyan, MD

Individual provider Rheumatology Physician · NPI 1104978048

Mazen Elyan, MD is a Rheumatology in Crestview Hills, Kentucky. Qualified in 1998, 28 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
28
Licensed in
IN, KY, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

651 Centre View Blvd
Crestview Hills, KY 41017-5419
Phone: (859) 344-1900
Fax: (859) 344-4632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 52243 (KY)
Rheumatology Physician Taxonomy 207RR0500X · Licence 35085724 (OH)
Rheumatology Physician Taxonomy 207RR0500X · Licence 01072711A (IN)

Record details

NPI number1104978048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESApril 26, 2019
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRHEUMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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