Fuad Hassan Al-Qassab, MD
Individual provider Active NPI Emergency Medicine Physician · Saginaw, MI
NPI 1306134887 · NPPES record last updated Jul 18, 2011
Key facts
- NPI
- 1306134887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301098922 (MI)
- Practice address
- 1000 Houghton Ave
Saginaw, MI 48602-5303 - Phone
- (989) 583-6817
- NPI assigned
- Jul 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carepoint Emergency Medicine Kansas LLC
Practice addresses (Care Compare)
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000
Hospital & facility affiliations
- Wesley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151102001622 | KS | Practitioner - Emergency Medicine | 9931419041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098922 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Kansas LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America - Kansas LLC | Emergency Medicine | Current | Accepting new patients |
| Carepoint Emergency Medicine Kansas LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America - Kansas LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100
2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301098922 | MI | Yes |
Addresses
Primary practice location
1000 Houghton Ave
Saginaw, MI 48602-5303
Mailing address
2770 Freeland Rd Unit 21
Saginaw, MI 48604
Phone (989) 980-7466
Other providers in Saginaw, MI
- Khalid Al Efraij
- Bashar B.T. Al Jayyousi
- Basel Al Khatib
- Omaima Ali a Al Sinan
- Wasef Al-Khateeb
- Ayman Al-Rejleh
- Ihsan Al-Sabbagh
- Nadir Al-Saidi
- Mustafa Khalid Alahmad
- Samhar M Alali
All providers in Saginaw, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.