Active NPI
Sabreena Mazin Kammo, DO
- Critical Care Medicine (Anesthesiology) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 71441
- Practice address
- 4201 St. Antoine, Uhc 9C
Detroit, MI 48201 - Phone
- (313) 743-3000
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 71441 | MN | Primary |
Addresses
Primary practice location
4201 St. Antoine, Uhc 9C
Detroit, MI 48201
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skammo1665288@epic00.shdirect.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
44201 Dequindre Rd
Nsa of Michigan III PLLC
Troy, MI 48085-1117
Phone (214) 687-0001
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1568950681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE, UHC 9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-743-3000"
}
],
"practiceLocations": [
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMMO",
"first_name": "SABREENA",
"middle_name": "MAZIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MN",
"license": "71441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skammo1665288@epic00.shdirect.org",
"affiliation": "N",
"address_1": "18101 Oakwood Blvd",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481244089",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.