Individual provider Active NPI

Fadi A Saab, MD

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
National Provider Identifier
1528028412
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301078144 Issued in MI
Practice address
1525 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-4598
Phone
(616) 447-8220
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 231026 MA
Cardiovascular Disease Physician 207RC0000X 4301078144 MI Primary

Addresses

Primary practice location

1525 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-4598

Mailing address

1525 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-4598
Phone (616) 447-8220

Other identifiers 3

IdentifierTypeStateIssuer
110F376980OtherMIBCBSC
4652643MedicaidMI
4301078144OtherMIMICHIGAN STATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000419 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2769445568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elias H Kassab MD PLLCGroup PAC ID 8123257987, 10 clinicians

Practice addresses (Care Compare)

5250 Auto Club Dr
Suite 300
Dearborn, MI 48126-2619
Phone (313) 724-9000

Hospital & facility affiliations

  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
28.02 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
43.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Varicose vein removal1-10
Leg revascularization (restoring blood flow)75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Traverse City PLLC Cardiovascular Disease Current Accepting new patients
Exclusive Physicians PLLC CurrentSince May 31, 2024 Accepting new patients
Elias H Kassab MD PLLC Cardiovascular Disease CurrentSince Apr 4, 2024 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Metropolitan Hospital Past Accepting new patients
Prime Healthcare Services - Garden City LLC Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients
Baystate Affiliated Practice Organization Hospitalist Past Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

5250 Auto Club Dr
Ste 300
Dearborn, MI 48126
Phone (313) 724-9000

5479 Schaefer Rd
Dearborn, MI 48126
Phone (313) 357-2225

5250 Auto Club Dr
Ste 170
Dearborn, MI 48126
Phone (313) 359-8300

5500 Auto Club Dr
Ste 250
Dearborn, MI 48126
Phone (313) 359-8300

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

1525 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 363-0055

9029 Pardee Rd
Taylor, MI 48180
Phone (313) 292-8400

Interoperability endpoints

  • Direct secure messaging: fsaab1149892@direct.hfhs.org

Organizations & group practices 8

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 8

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1528028412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-8220",
            "fax_number": "616-252-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAB",
        "first_name": "FADI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "231026",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301078144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSC",
            "identifier": "110F376980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4652643",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "4301078144",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.