Individual provider Active NPI

Aisha Balol

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1043197684
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619
Phone
(313) 724-9000
NPI assigned
Aug 18, 2025
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619

Mailing address

5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202001999 MI Practitioner - Physician Assistant 9133612872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elias H Kassab MD PLLCGroup PAC ID 8123257987, 10 clinicians

Practice addresses (Care Compare)

5250 Auto Club Dr
Suite 300
Dearborn, MI 48126-2619
Phone (313) 724-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elias H Kassab MD PLLC CurrentSince Nov 12, 2025 Accepting new patients

Locations

5250 Auto Club Dr
Ste 300
Dearborn, MI 48126
Phone (313) 724-9000

5479 Schaefer Rd
Dearborn, MI 48126
Phone (313) 357-2225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DADDCA/Endpoint/DADDCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1043197684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-724-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOL",
        "first_name": "AISHA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.