Core Cardiovascular Clinic, PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

CORE CARDIOVASCULAR CLINIC, PLLC

Practice address

1500 W Big Beaver Rd Ste 108
Troy, MI 48084-3522

Phone

(248) 878-3171

Fax

(248) 928-0916

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan Dalloul, MDNPI 1447466016

Title

Owner

Phone

(586) 805-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghassan Dalloul, MD

  • Interventional Cardiology Physician
  • Livonia, MI
  • NPI 1447466016
  Medicare reassignment Care Compare group NPD Authorized official
• Colleen Mary Bonser, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1801764949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1750131371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD STE 108",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD STE 108",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843522",
            "telephone_number": "248-878-3171",
            "fax_number": "248-928-0916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37799 Professional Center Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541123",
            "country_code": "US",
            "telephone_number": "248-878-3171",
            "fax_number": "248-928-0916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE CARDIOVASCULAR CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "DALLOUL",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-805-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cook
• Aharon Gedaliah Cooper, M.D.
• Matthew Allen Cooper, M.S. PA-C
• Laura Christine Coppola, LMSW
• Kathryn Corbin
• Core Health Service LLC
• Core Health Services
• Christy Cork
• Cornerstone Caregiving East LLC
• Anthony Calderon Corpus

• Interventional Cardiology Physician in Troy, MI
• Providers in Troy, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.