Active NPI
Abdul Al-Kassab, MD
- Endocrinology, Diabetes & Metabolism Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4301062353
- Practice address
- 2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3609 - Phone
- (248) 844-1873
- Fax
- (248) 844-0219
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4301062353 | MI | Primary |
Addresses
Primary practice location
2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3609
Mailing address
2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3609
Phone (248) 844-1873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3348167 | 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 |
|---|---|---|---|---|
| I20050301000130 | MI | Practitioner - Endocrinology | 6204889769 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Endocrine and Diabetes Consultants PC
Practice addresses (Care Compare)
2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3674
Phone (248) 844-0200
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Trinity Health Oakland Hospital
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.57 of 100
- Quality
- 99.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062353 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrine & Diabetes Consultants PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Ghaida Khodher MD PC | Past | Accepting new patients |
Locations
2970 Crooks Rd
Ste A
Rochester Hills, MI 48309
Phone (248) 651-5353
Interoperability endpoints
- aalkassab1159539@direct.hfhs.org
Organizations & group practices 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Rochester Hills, MI
- NPI 1144237082
Endocrinology, Diabetes & Metabolism, MI
-
- Rheumatology Physician
- Rochester Hills, MI
- NPI 1154492254
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": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1477560308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 CROOKS RD",
"address_2": "SUITE A",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093609",
"telephone_number": "248-844-1873",
"fax_number": "248-844-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 CROOKS RD",
"address_2": "SUITE A",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093609",
"telephone_number": "248-844-1873",
"fax_number": "248-844-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-KASSAB",
"first_name": "ABDUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "4301062353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3348167",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.