Michael J Kassouf, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

136722 Issued in NY

Practice address

346 76TH St
Brooklyn, NY 11209-3106

Phone

(718) 238-0131

Fax

(718) 833-9595

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

General Surgery

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Michael J Kassouf, MD.,PC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1659501088

  NJ

  Medicare reassignment NPD Authorized official
• Aristahealth Medical Care PC

  • General Practice Physician
  • New York, NY
  • NPI 1811257785
  Medicare reassignment NPD
• Be Well Primary Health Care Center, LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1083623409
  Medicare reassignment NPD
• Brooklyn Comprehensive Care Center Inc.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1154355105
  Medicare reassignment NPD
• Goldstep Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1689059222
  Medicare reassignment NPD
• Lifeline Medical Testing PLLC

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1114634482
  NPD (past)
• Yakov Levy MD PC

  • Obstetrics Physician
  • Forest Hills, NY
  • NPI 1124204490
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1609812528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093106",
            "telephone_number": "718-238-0131",
            "fax_number": "718-833-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093106",
            "telephone_number": "718-238-0131",
            "fax_number": "718-833-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSOUF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "136722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "136722-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Liliane Kassin, DPT
• Lillian Kassin, PA-C
• Sarah Kassin, MS OTR/L
• Raizel Kassirer
• Emma Kassonon
• Dena Kasten
• Janet Theresa Kasten, LMSW
• Yaakov Kasten
• Norman Kastenbaum, MSW LCSW-R11/2
• Emily Kastner, L.M.S.W.

• Vascular Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.

Verify at the official NPI Registry.