Michelle A. Kassen, M.D., MPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036111702 Issued in IL

Practice address

1111 Superior St
Suite 101
Melrose Park, IL 60160-4138

Phone

(708) 344-2161

Fax

(708) 344-3156

NPI assigned

Jan 18, 2006

Last updated

Mar 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• VHS Westlake Hospital Inc.

  • Internal Medicine Physician
  • Melrose Park, IL
  • NPI 1174844757
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1366422321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-344-2161",
            "fax_number": "708-344-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-344-2161",
            "fax_number": "708-344-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEN",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036111702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "01623610",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K.B.Giri MDSC (Melrose Pediatrics)
• Elina Kamaroff, D.O.
• Khalil Y Karim, MD
• Charles R. Karwowski, R.PH.
• Steven Kasperski, LCSW
• Jaya Kasturi, M.D.
• Kasturi, P.C.
• Anastasia Katopodis, CNM
• Tamayo Kawai, M.D.
• Jacara Kelley-Muhammad, M.D.

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.