Active NPI
Ghassan Dalloul, MD
- Interventional Cardiology Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4301087543
- Practice address
- 37799 Professional Center Dr Ste 105
Livonia, MI 48154-1123 - Phone
- (248) 878-3171
- Fax
- (248) 928-0916
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 4301087543 | MI | Primary |
Addresses
Primary practice location
37799 Professional Center Dr Ste 105
Livonia, MI 48154-1123
Mailing address
PO Box 182005
Shelby TWP, MI 48318-2005
Phone (248) 878-3171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301087543 | Other | STATE LICENSE | |
| 1447466016 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220301001753 | MI | Practitioner - Interventional Cardiology | 0648410241 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Core Cardiovascular Clinic PLLC
Practice addresses (Care Compare)
1500 W Big Beaver Rd
Suite 108
Troy, MI 48084-3522
Phone (248) 878-3171
37799 Professional Ctr Dr
Suite 105
Livonia, MI 48154-1123
Phone (248) 878-3171
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Dearborn
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Vascular Specialists PC | Cardiovascular Disease | Current | Accepting new patients |
| Mid Michigan Diagnostic Corp | Internal Medicine | Current | Accepting new patients |
| Arizona Diabetes and Endocrinology, PLC | Current | Accepting new patients | |
| Core Cardiovascular Clinic, PLLC | Interventional Cardiology | Current | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
3489 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 646-8433
710 N Crooks Rd
Clawson, MI 48017
Phone (248) 288-1117
5250 Auto Club Dr
Ste 170
Dearborn, MI 48126
Phone (313) 359-8300
37799 Professional Center Dr
Ste 105
Livonia, MI 48154
Phone (248) 878-3171
49050 Schoenherr Rd
Ste 100
Shelby Township, MI 48315
Phone (586) 532-8700
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
1500 W Big Beaver Rd
Ste 108
Troy, MI 48084
Phone (248) 878-3171
Interoperability endpoints
- gd@valleyheart.directbygreenway.com
- https://api.platform.athenahealth.com/15319/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/GABFCD
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.
-
- Interventional Cardiology Physician
- Troy, MI
- NPI 1750131371
Interventional Cardiology, MI
-
- Cardiovascular Disease Physician
- Troy, MI
- NPI 1144643149
Cardiovascular Disease, MI
-
- Diagnostic Radiology Physician
- Flint, MI
- NPI 1508800822
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Gilbert, AZ
- NPI 1215360003
Hospital & facility affiliations 13
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": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1447466016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182005",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483182005",
"telephone_number": "248-878-3171",
"fax_number": "248-928-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37799 PROFESSIONAL CENTER DR STE 105",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541123",
"telephone_number": "248-878-3171",
"fax_number": "248-928-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLOUL",
"first_name": "GHASSAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301087543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301087543",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447466016",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.