Ehk Endovascular PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EHK ENDOVASCULAR PLLC

Doing business as

Michigan Outpatient Vascular Institute LLC

Practice address

5250 Auto Club Dr Ste 170
Dearborn, MI 48126-2619

Phone

(313) 359-8300

Fax

(313) 359-8305

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elias H Kassab, M.D.

Title

Owner

Phone

(313) 359-8300

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• Michigan Outpatient Vascular Institute LLC Doing business as
• EHK Endovascular PLLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Rinzivillo

  • Cardiovascular Disease Physician
  • Jeannette, PA
  • NPI 1588017016
  NPD

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1477845824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 170",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-359-8300",
            "fax_number": "313-359-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 170",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-359-8300",
            "fax_number": "313-359-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHK ENDOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-359-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301047006",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301047006",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP PIN",
            "identifier": "0H27482",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "0H27482",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GP PTAN",
            "identifier": "DT5132",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Outpatient Vascular Institute LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Outpatient Vascular Institute LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EHK Endovascular PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jillian Ann Edwards
• Joanne Edwards
• Morgan Elyse Edwards, B.A.
• Terry Edwards Jr.
• Aaron C Egle, LMSW
• Eman Eid
• Aisha Akilah Eisenberg, PA-C
• Chelsey Michelle Eisenga
• Ejk & Associates, LLC
• May El Hajj

• Medical Specialty Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.