Suha F Kassab, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SK001415 Issued in MI

Practice address

10 W Square Lake Rd
Ste. 300
Bloomfield Hills, MI 48302-0465

Phone

(248) 333-4900

Fax

(248) 333-4905

NPI assigned

Sep 2, 2005

Last updated

Sep 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skassab@bloomfieldfamilyfootcare.emadirect.md
• Direct secure messaging: skassab1134206@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suha Kassab DPM PC

  • Podiatrist
  • Bloomfield Hills, MI
  • NPI 1619149010
  Medicare reassignment NPD Authorized official
• Suha Kassab DPM PC

  • Podiatrist
  • Bloomfield Hills, MI
  • NPI 1316767403
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1902890015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD",
            "address_2": "STE 300",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020465",
            "telephone_number": "248-333-4900",
            "fax_number": "248-333-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD",
            "address_2": "STE. 300",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020465",
            "telephone_number": "248-333-4900",
            "fax_number": "248-333-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "SUHA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "SK001415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4858252030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5287600001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Karazim II, MD
• Darius James Karimipour, MD
• Natalia Lynn Karmo, DMD
• Rachiel Karres, LLC
• Marvin Khalid Kasmikha, DO
• Kathleen McCarthy PHD, PC
• Katie Parker Counseling PLLC
• Diane N Katz, CRNA
• Emily Marie Kauhn
• Madison Margurite Kay

• Podiatrist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.

Verify at the official NPI Registry.