Active NPI
Antoine Sassine
- Internal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1700403268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301518035
- Practice address
- 300 Lafayette Ave SE Ste 3000
Grand Rapids, MI 49503-4692 - Phone
- (616) 685-6919
- NPI assigned
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301518035 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
300 Lafayette Ave SE Ste 3000
Grand Rapids, MI 49503-4692
Mailing address
PO Box 776974
Chicago, IL 60677-6974
Phone (616) 685-1808
Other practice location 1
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5576
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527002483 | MI | Practitioner - Internal Medicine | 4183194590 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Central Michigan College of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Chicago, IL 60677
PO Box
Suite 776974
Chicago, IL 60677-6974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301518035 | MI | MD | Internal Medicine Physician |
Interoperability endpoints
- asassine2739681@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1700403268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776974",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776974",
"telephone_number": "616-685-1808",
"fax_number": "312-957-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LAFAYETTE AVE SE STE 3000",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034692",
"telephone_number": "616-685-6919"
}
],
"practiceLocations": [
{
"address_1": "200 Jefferson Ave SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495034502",
"country_code": "US",
"telephone_number": "616-685-5576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SASSINE",
"first_name": "ANTOINE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-01",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301518035",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.