Individual provider Active NPI

Ghazawan K Kashat, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1326250754
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301083271 Issued in MI
Practice address
35200 Dequindre Rd Ste 600
Sterling Heights, MI 48310-4841
Phone
(248) 786-8800
Fax
(586) 722-7446
NPI assigned
May 6, 2007
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 4301083271 MI Primary

Addresses

Primary practice location

35200 Dequindre Rd Ste 600
Sterling Heights, MI 48310-4841

Mailing address

35200 Dequindre Rd Ste 600
Sterling Heights, MI 48310-4841
Phone (248) 786-8800

Other practice location 1

35450 Dequindre Rd
Suite 103
Sterling Heights, MI 48310-4810
Phone (586) 795-2980

Other identifiers 4

IdentifierTypeStateIssuer
1326250754MedicaidMI
GK083271OtherMIMICHIGAN LICENSE
0N40170OtherMIMEDICARE GROUP NUMBER
700E012740OtherMIBCBS GROUP NUMBER

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
I20071203000067 MI Practitioner - Family PracticePractitioner - Emergency Medicine 7416046230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians
Khadhory Mercy PLLCGroup PAC ID 4486041787, 3 clinicians

Practice addresses (Care Compare)

15565 Northland Dr W
Suite 700
Southfield, MI 48075-5324
Phone (860) 335-5064

35200 Dequindre Rd
Suite 600
Sterling Heights, MI 48310-4841
Phone (586) 795-2980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khadhory Mercy PLLC CurrentSince Jan 18, 2022 Accepting new patients
Lifeline Medical Center Family Medicine CurrentSince Mar 8, 2024 Accepting new patients
Sciometrix Inc CurrentSince Jan 15, 2023 Accepting new patients
Sciometrix LLC CurrentSince Jul 1, 2022 Accepting new patients
Kashat Urgent Care PC CurrentSince Jan 1, 2022 Accepting new patients
Western Wayne Urgent Care PC Family Medicine Past Accepting new patients
Saratoga Urgent Care PC Past Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Saratoga Urgent Care PC Family Medicine Past Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

15565 Northland Dr W
Ste 700
Southfield, MI 48075

35200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 826-8600

35200 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 689-1000

35200 Dequindre Rd
Ste 600
Sterling Hts, MI 48310
Phone (248) 844-0315

35450 Dequindre Rd
Ste 103
Sterling Hts, MI 48310
Phone (586) 274-2979

Interoperability endpoints

  • Direct secure messaging: gkashat1134185@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 4

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": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1326250754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35200 DEQUINDRE RD STE 600",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104841",
            "telephone_number": "248-786-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35200 DEQUINDRE RD STE 600",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104841",
            "telephone_number": "248-786-8800",
            "fax_number": "586-722-7446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35450 Dequindre Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104810",
            "country_code": "US",
            "telephone_number": "586-795-2980",
            "fax_number": "586-795-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASHAT",
        "first_name": "GHAZAWAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326250754",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "GK083271",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0N40170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.