Individual provider Active NPI

Claudia Kassouf, DO

  • Obstetrics & Gynecology Physician
  • Pontiac, MI
National Provider Identifier
1285318857
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5151016434 Issued in MI
Practice address
44405 Woodward Avenue
Graduate Medical Education Dept
Pontiac, MI 48341
Phone
(248) 858-3231
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5151016434 MI Primary

Addresses

Primary practice location

44405 Woodward Avenue
Graduate Medical Education Dept
Pontiac, MI 48341

Mailing address

44405 Woodward Ave
Graduate Medical Education Dept
Pontiac, MI 48341-5023

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809001091 MI Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 3072975960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151016434MIMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: ckassouf2748273@direct.trinity-health.org
  • Direct secure messaging: ckassouf1090632@direct.hfhs.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1285318857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "address_2": "GRADUATE MEDICAL EDUCATION DEPT",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVENUE",
            "address_2": "GRADUATE MEDICAL EDUCATION DEPT",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSOUF",
        "first_name": "CLAUDIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5151016434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.