Active NPI
Mona Sater, PA.C.
- Surgical Physician Assistant
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601003312
- Practice address
- 7650 Dixie Hwy
Suite 140
Clarkston, MI 48346-2078 - Phone
- (248) 620-9310
- Fax
- (248) 620-9311
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601003312 | MI | Primary |
Addresses
Primary practice location
7650 Dixie Hwy
Suite 140
Clarkston, MI 48346-2078
Mailing address
4409 Gaylord Dr
Troy, MI 48098-4458
Phone (248) 225-6887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970030994 | Other | MI | RAILROAD MEDICARE |
Other names 1
- Mona Kobeissi
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of Oakland County, P.C. | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Prime Homecare Agency LLC | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Director |
Aug 25, 2009 Feb 19, 2008 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Bloomfield, MI
- NPI 1851560890
5% Or Greater Direct Ownership Interest, Corporate Director
Organizations & group practices 2
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.
-
- Surgical Physician Assistant
- Troy, MI
- NPI 1881052363
-
- Orthopaedic Surgery Physician
- Bloomfield Hills, MI
- NPI 1720200140
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1053391847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 GAYLORD DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984458",
"telephone_number": "248-225-6887",
"fax_number": "248-952-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 DIXIE HWY",
"address_2": "SUITE 140",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462078",
"telephone_number": "248-620-9310",
"fax_number": "248-620-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATER",
"first_name": "MONA",
"credential": "PA.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601003312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970030994",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONA",
"last_name": "KOBEISSI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.