Active NPI
Kassem M Charara, MD
- Surgery Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- KC060523
- Practice address
- 6211 Chase Rd
Dearborn, MI 48126-2107 - Phone
- (313) 581-1222
- Fax
- (313) 581-6657
- NPI assigned
- Jan 23, 2006
- Last updated
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | KC060523 | MI | Primary |
Addresses
Primary practice location
6211 Chase Rd
Dearborn, MI 48126-2107
Mailing address
6211 Chase Rd
Dearborn, MI 48126-2405
Phone (313) 581-1222
Other practice location 1
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-0688
Other practice location 2
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5253
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18430001 | Other | MI | MEDICARE ID |
| 1040957460 | Medicaid | MI | |
| 383533086 | Other | MI | COMERCIAL |
Other names 1
- Dr. Kassem M Sharara
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcharara112731@direct.beaumont.edu | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6325 Chase Rd
Suite B
Dearborn, MI 48126-4522
Phone (313) 581-1222
Hospital & facility affiliations
- Beaumont Hospital - Taylor
- Corewell Health Wayne Hospital
- Beaumont Hospital - Dearborn
- Vibra Hospital of Southeastern Mi-Taylor Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 18 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KC060523 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Kassem M Charara MD PC | Current | Accepting new patients | |
| Oakwood Youth Programs, LLC | Past | Accepting new patients |
Locations
6211 Chase Rd
Dearborn, MI 48126
Phone (313) 581-1222
18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
6325 Chase Rd
Ste B
Dearborn, MI 48126
Phone (313) 581-1222
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- kcharara1228553@epic00.shdirect.org
- kcharara112731@direct.beaumont.edu
- kcharara220780@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Dearborn, MI
- NPI 1437329703
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Physical Medicine & Rehabilitation Physician
- Dearborn, MI
- NPI 1790959120
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Vibra of Southeastern Michigan
- Long Term Care Hospital
- Lincoln Park, MI
- NPI 1508027624
Long-term care hospital
-
dba Vibra Hospital of Southeastern Michigan - DMC Campus
- Long Term Care Hospital
- Detroit, MI
- NPI 1447617915
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1265412449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 CHASE RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262405",
"telephone_number": "313-581-1222",
"fax_number": "313-581-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 CHASE RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262107",
"telephone_number": "313-581-1222",
"fax_number": "313-581-6657"
}
],
"practiceLocations": [
{
"address_1": "26901 Beaumont Blvd Ste 3D",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480333849",
"country_code": "US",
"telephone_number": "947-522-0688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10000 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481803330",
"country_code": "US",
"telephone_number": "313-295-5253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARARA",
"first_name": "KASSEM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "KC060523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "M18430001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1040957460",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMERCIAL",
"identifier": "383533086",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcharara112731@direct.beaumont.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10000 Telegraph Rd",
"city": "Taylor",
"state": "MI",
"country_code": "US",
"postal_code": "481803330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KASSEM",
"last_name": "SHARARA",
"middle_name": "M",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.