Active NPI
Evan J Kass, MD
- Urology Physician
- Troy, MI
National Provider Identifier
1770574550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301031012
- Practice address
- 2221 Livernois Rd
Ste 103
Troy, MI 48083 - Phone
- (248) 519-0305
- Fax
- (248) 519-0315
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301031012 | MI | Primary |
Addresses
Primary practice location
2221 Livernois Rd
Ste 103
Troy, MI 48083
Mailing address
2221 Livernois Rd
Ste 103
Troy, MI 48083
Phone (248) 519-0305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1943253 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301031012 | MI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Past | Accepting new patients | |
| Michigan Healthcare Professionals PC | Past | Accepting new patients |
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.
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- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770574550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 LIVERNOIS RD",
"address_2": "STE 103",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-519-0305",
"fax_number": "248-519-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 LIVERNOIS RD",
"address_2": "STE 103",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-519-0305",
"fax_number": "248-519-0315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASS",
"first_name": "EVAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301031012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1943253",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.