Individual provider Active NPI

Enoch Kassa, M.D.

  • Ophthalmology Physician
  • Michigan City, IN
National Provider Identifier
1083980858
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01074945A Issued in IN
Practice address
3777 N Frontage Rd Ste 400
Michigan City, IN 46360-7697
Phone
(219) 221-6198
Fax
(219) 221-4017
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01074945A IN Primary
Internal Medicine Physician 207R00000X 01074945A IN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3777 N Frontage Rd Ste 400
Michigan City, IN 46360-7697

Mailing address

3777 N Frontage Rd
Michigan City, IN 46360-7695

Other names 1

  • Henock Kassa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218000181 IN Practitioner - OphthalmologyPractitioner - Internal Medicine 6901039601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3777 N Frontage Rd
Suite 400
Michigan City, IN 46360-7697
Phone (219) 221-6198

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as individual
Quality
76.33
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074945AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
University Family Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Lakeshore Eye Specialists PC Ophthalmology CurrentSince May 11, 2020 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

3777 N Frontage Rd
Michigan City, IN 46360
Phone (219) 809-2889

3777 N Frontage Rd
Ste 400
Michigan City, IN 46360
Phone (219) 221-6198

Interoperability endpoints

  • Direct secure messaging: ekassa14785@direct.eskenazihealth.edu

Organizations & group practices 3

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 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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1083980858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 N FRONTAGE RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 N FRONTAGE RD STE 400",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607697",
            "telephone_number": "219-221-6198",
            "fax_number": "219-221-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSA",
        "first_name": "ENOCH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01074945A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01074945A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENOCK",
            "last_name": "KASSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.