NPIMap

Individual provider Active NPI

Safwan Kassas, MD

  • Interventional Cardiology Physician
  • Saginaw, MI
National Provider Identifier
1467432500
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301058414 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone
(989) 754-3000
Fax
(989) 755-1365
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301058414 MI Primary

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601-2556

Mailing address

1015 S Washington Ave
Saginaw, MI 48601-2556
Phone (989) 754-3000

Other identifiers 1

IdentifierTypeStateIssuer
4700811MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address safwan.kassas.1@11016.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000628 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092760249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

1015 S Washington Ave
Saginaw, MI 48601-2556

1117 S Van Dyke Rd
Suite 300
Bad Axe, MI 48413-8467
Phone (989) 754-3000

295 Maple St
Tawas City, MI 48763-9352

4000 Wellness Dr
Midland, MI 48670-2000

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000

826 W King St
Owosso, MI 48867-2120
Phone (989) 754-3000

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Oct 1, 2011 Accepting new patients
Memorial Hospital CurrentSince May 29, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Memorial Hospital CurrentSince May 29, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Cardiology Associates of Michigan, P.C. PastSince Jan 21, 2002 Accepting new patients
Rockford Cardiology Associates, LTD Past Accepting new patients
War Memorial Munson Health Services Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

Interoperability endpoints

  • Direct secure messaging: safwan.kassas.1@11016.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 12

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1467432500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAS",
        "first_name": "SAFWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301058414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4700811",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "safwan.kassas.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.