Individual provider Active NPI

Omran B Kaskar, DO

  • Vascular Neurology Physician
  • Ypsilanti, MI
National Provider Identifier
1629208798
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
5101018384 Issued in MI
Practice address
Trinity Health Iha Medical Group Neurology
5333 McAuley Drive Suite 6109
Ypsilanti, MI 48197
Phone
(734) 712-1400
Fax
(734) 623-2857
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 34013022 OH
Vascular Neurology Physician 2084V0102X 5101018384 MI Primary

Addresses

Primary practice location

Trinity Health Iha Medical Group Neurology
5333 McAuley Drive Suite 6109
Ypsilanti, MI 48197

Mailing address

24 Frank Lloyd Wright Drive
Suite J20000
Ann Arbor, MI 48105

Other practice location 1

25 Michigan St NE Ste 6100
Grand Rapids, MI 49503-2561
Phone (616) 267-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20140708002246 MI Practitioner - Neurology 9436374378 Reassigns benefits to 3 organizations
I20230915003321 FL Practitioner - Neurology 9436374378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34013022OHMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Jul 22, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Aug 18, 2023 Accepting new patients
Iha Health Services Corporation Neurology CurrentSince Jan 1, 2024 Accepting new patients
Neuro Team One PLLC Neurology CurrentSince Aug 1, 2019 Accepting new patients
Iha Health Service Corporation CurrentSince Jan 1, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Lee Memorial Health System CurrentSince Aug 18, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 22, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

31500 Telegraph Rd
Ste 115
Bingham Farms, MI 48025
Phone (248) 621-9100

6632 Telegraph Rd
Bloomfld Hls, MI 48301
Phone (248) 621-9100

43902 Woodward Ave
Ste 100
Bloomfld Hls, MI 48302
Phone (248) 724-2643

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

5333 McAuley Dr
Rm 6109
Ypsilanti, MI 48197
Phone (734) 712-8600

Interoperability endpoints

  • Direct secure messaging: okaskar145896@direct.trinity-health.org

Organizations & group practices 10

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 1

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1629208798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J20000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH IHA MEDICAL GROUP NEUROLOGY",
            "address_2": "5333 MCAULEY DRIVE SUITE 6109",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-712-1400",
            "fax_number": "734-623-2857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Michigan St NE Ste 6100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032561",
            "country_code": "US",
            "telephone_number": "616-267-7900",
            "fax_number": "616-267-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASKAR",
        "first_name": "OMRAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OH",
            "license": "34013022",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MI",
            "license": "5101018384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.