Individual provider Active NPI

Safa S Kassab, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Pontiac, MI
National Provider Identifier
1720097330
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
G27348 Issued in MI
Practice address
44555 Woodward Ave
Suite 105
Pontiac, MI 48341-5031
Phone
(248) 335-2977
Fax
(248) 858-3880
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G27348 MI Primary

Addresses

Primary practice location

44555 Woodward Ave
Suite 105
Pontiac, MI 48341-5031

Mailing address

44555 Woodward Ave
Suite 105
Pontiac, MI 48341-5031
Phone (248) 335-2977

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000151 MI Practitioner - Orthopedic Surgery 4688696032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of Oakland County PCGroup PAC ID 1153343504, 24 clinicians

Practice addresses (Care Compare)

44038 Woodward Ave
Suite 200
Bloomfield Hills, MI 48302-5037
Phone (248) 335-2977

Hospital & facility affiliations

  • Home Care of Michigan Home health agency, Southfield, MI, CCN 239335
  • Prime Homecare Agency Home health agency, Bloomfield Hills, MI, CCN 239027
  • Trinity Health at Home- Southeast Michigan Home health agency, Livonia, MI, CCN 237069
  • Custom Home Health Home health agency, Troy, MI, CCN 237707
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement150
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G27348MIMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of Oakland County Orthopaedic Surgery Current Accepting new patients
Orthopedic Specialists of Oakland County, P.C. Orthopaedic Surgery CurrentSince Feb 1, 2006 Accepting new patients

Locations

44038 Woodward Ave
Ste 200
Bloomfld Hls, MI 48302
Phone (248) 335-1064

44038 Woodward Ave
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 334-0050

7650 Dixie Hwy
Ste 100
Clarkston, MI 48346
Phone (248) 335-2977

2316 S Lapeer Rd
Orion, MI 48360

44555 Woodward Ave
Ste 105
Pontiac, MI 48341
Phone (248) 335-2977

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.

Hospital & facility affiliations 8

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720097330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 105",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-335-2977",
            "fax_number": "248-858-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 105",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-335-2977",
            "fax_number": "248-858-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "SAFA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "G27348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.