NPIMap

Individual provider Active NPI

Abdul Al-Kassab, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Rochester Hills, MI
National Provider Identifier
1477560308
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301062353 Issued in MI
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
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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
I20050301000130 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 6204889769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine and Diabetes Consultants PCGroup PAC ID 5496708950, 5 clinicians

Practice addresses (Care Compare)

2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3674
Phone (248) 844-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.57 of 100Reported as group
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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine & Diabetes Consultants PC Endocrinology, Diabetes & Metabolism CurrentSince Feb 24, 2005 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

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.