Active NPI
Dina Barbara Kaissi Romine, PA
- Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2019007313
- Practice address
- 275 Michigan St NE
Grand Rapids, MI 49503-2531 - Phone
- (616) 267-8700
- Fax
- (616) 267-8247
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601009927 | MI | |
| Physician Assistant | 363A00000X | 2019007313 | MO | Primary |
Addresses
Primary practice location
275 Michigan St NE
Grand Rapids, MI 49503-2531
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other practice location 1
One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 884-9066
Other names 1
- Barbara Dina Kaissi
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2100
1020 Hitt St
Columbia, MO 65212-0001
1100 Virginia Ave
Columbia, MO 65212-0001
Phone (573) 882-2667
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients |
Locations
705 Oak St
Big Rapids, MI 49307
Phone (231) 592-4356
230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4069 Lake Dr SE
Ste 312
Grand Rapids, MI 49546
Phone (616) 267-8700
705 S Greenville West Dr
Ste 202
Greenville, MI 48838
Phone (616) 267-9823
1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078
602 Michigan Ave
Ste 102
Holland, MI 49423
Phone (616) 392-3824
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
8333 Felch St
Ste 100
Zeeland, MI 49464
Phone (616) 494-8724
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
Interoperability endpoints
- dromine357009@epic00.corewelldirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1326506429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MICHIGAN ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032531",
"telephone_number": "616-267-8700",
"fax_number": "616-267-8247"
}
],
"practiceLocations": [
{
"address_1": "One Hospital Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652120001",
"country_code": "US",
"telephone_number": "573-884-9066",
"fax_number": "573-884-3037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMINE",
"first_name": "DINA",
"middle_name": "BARBARA KAISSI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601009927",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2019007313",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "One Hospital Dr",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652120001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "KAISSI",
"middle_name": "DINA",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.