Individual provider Active NPI

Kashif G Rasool, M.D.

  • Family Medicine Physician
  • Highland Park, MI
National Provider Identifier
1629287461
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 19, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301083619 Issued in MI
Practice address
211 Glendale St
Highland Park, MI 48203-3231
Phone
(313) 865-2020
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301083619 MI Primary

Addresses

Primary practice location

211 Glendale St
Highland Park, MI 48203-3231

Mailing address

1350 W Bethune St
Apt 505
Detroit, MI 48202-2600
Phone (703) 340-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301083619MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jagneswar Saha DO PC Past Accepting new patients
Mobile Hyperbaric Centers, LLC Past Accepting new patients
Highland Park Medical Center, PLLC Family Medicine PastSince Aug 1, 2011 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629287461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W BETHUNE ST",
            "address_2": "APT 505",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022600",
            "telephone_number": "703-340-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033231",
            "telephone_number": "313-865-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "KASHIF",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

Verify at the official NPI Registry.