NPIMap

Individual provider Active NPI

Marvin Khalid Kasmikha, DO

  • Family Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1134618788
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026164 Issued in MI
Practice address
1961 S Telegraph Rd
Bloomfield Hills, MI 48302-0246
Phone
(248) 319-6190
NPI assigned
May 8, 2018
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101026164 MI Primary

Addresses

Primary practice location

1961 S Telegraph Rd
Bloomfield Hills, MI 48302-0246

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 999-5829

Other practice location 1

6900 Orchard Lake Rd Ste 101
West Bloomfield, MI 48322-3424
Phone (248) 855-7565

Other practice location 2

32255 Northwestern Hwy Ste 130
Farmington Hills, MI 48334-1505
Phone (248) 723-5880

Other practice location 3

29645 W 14 Mile Rd Ste 110
Farmington Hills, MI 48334-1666
Phone (248) 254-6000

Other names 1

  • Marvin Khalid Yousif Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkasmikha1716597@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
I20210712001253 MI Practitioner - Family Practice 9931455839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Feb 13, 2023 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Feb 13, 2023 Accepting new patients
S Park-Davis Healthcare Family Medicine CurrentSince Nov 23, 2024 Accepting new patients
Toni Ballitch Trate DO PC PastSince Nov 23, 2024 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

29645 W 14 Mile Rd
Ste 110
Farmington Hills, MI 48334
Phone (248) 254-6000

30880 Beck Rd
Novi, MI 48377
Phone (248) 926-0009

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13300/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mkasmikha1240922@epic00.shdirect.org

Organizations & group practices 5

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 12

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1134618788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "800-999-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 S TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020246",
            "telephone_number": "248-319-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Orchard Lake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223424",
            "country_code": "US",
            "telephone_number": "248-855-7565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32255 Northwestern Hwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341505",
            "country_code": "US",
            "telephone_number": "248-723-5880",
            "fax_number": "248-723-5889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29645 W 14 Mile Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341666",
            "country_code": "US",
            "telephone_number": "248-254-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASMIKHA",
        "first_name": "MARVIN",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkasmikha1716597@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "6900 Orchard Lake Rd Ste 101",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "YOUSIF",
            "middle_name": "KHALID",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.