NPIMap

Individual provider Active NPI

Zaid Kasmikha, D.O.

  • Cardiovascular Disease Physician
  • Saint Clair Shores, MI
National Provider Identifier
1083902761
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101018688 Issued in MI
Practice address
24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151
Phone
(586) 498-0440
Fax
(586) 498-0429
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101018688 MI
Student in an Organized Health Care Education/Training Program 390200000X L2016112 MI
Cardiovascular Disease Physician 207RC0000X 5101018688 MI Primary

Addresses

Primary practice location

24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151

Mailing address

24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151
Phone (586) 498-0440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zkasmikha36308@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124000573 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7618105453 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastlake Cardiovascular PCGroup PAC ID 4688562176, 22 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151
Phone (810) 498-0440

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
66.77
Promoting interoperability
100
Improvement activities
40
Cost
76.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018688MIMDCardiovascular Disease Physician
L2016112MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital CurrentSince Sep 15, 2018 Accepting new patients
Henry Ford Health Rochester Hospital Cardiovascular Disease CurrentSince Sep 15, 2018 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Nov 18, 2017 Accepting new patients
Eastlake Cardiovascular PC Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease CurrentSince Nov 18, 2017 Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Jan 19, 2026 Accepting new patients

Locations

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144

2061 W Auburn Rd
Rochester Hills, MI 48309
Phone (248) 923-2002

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

24211 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 498-0440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: zkasmikha36308@direct.beaumont.edu

Organizations & group practices 7

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

Hospital & facility affiliations 7

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1083902761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24211 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801151",
            "telephone_number": "586-498-0440",
            "fax_number": "586-498-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24211 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801151",
            "telephone_number": "586-498-0440",
            "fax_number": "586-498-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASMIKHA",
        "first_name": "ZAID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018688",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "L2016112",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101018688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zkasmikha36308@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "24211 Little Mack Ave",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480801151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.