NPIMap

Individual provider Active NPI

Elias Habib Kassab, M.D.

  • Cardiovascular Disease Physician
  • Dearborn, MI
National Provider Identifier
1922076835
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301047006 Issued in MI
Practice address
5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619
Phone
(313) 724-9000
Fax
(313) 562-9300
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301047006 MI
Internal Medicine Physician 207R00000X 4301047006 MI
Cardiovascular Disease Physician 207RC0000X 4301047006 MI Primary

Addresses

Primary practice location

5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619

Mailing address

5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619
Phone (313) 724-9000

Other identifiers 4

IdentifierTypeStateIssuer
060007968OtherMIMEDICARE RR
P51229OtherMIBLUECARE NETWORK
0Q26305002OtherMIBLUECROSSBLUESHIELD OF MI
1910717MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001136 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Pain ManagementPractitioner - Internal Medicine 0941283956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Interventional Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elias H Kassab MD PLLCGroup PAC ID 8123257987, 10 clinicians

Practice addresses (Care Compare)

5250 Auto Club Dr
Suite 300
Dearborn, MI 48126-2619
Phone (313) 724-9000

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Management LLC CurrentSince Oct 1, 2020 Accepting new patients
Michigan Healthcare Center CurrentSince Jan 27, 2018 Accepting new patients
Elias H Kassab MD PLLC Cardiovascular Disease CurrentSince Oct 1, 2013 Accepting new patients
Millennium Medical Group South PC Internal Medicine Past Accepting new patients
Venocure, PLLC Cardiovascular Disease PastSince May 7, 2008 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Satinder Kumar Aggarwal MD P C Internal Medicine Past Accepting new patients
Mancini Consulting L.L.C. Cardiovascular Disease Past Accepting new patients
SD Cardiovascular P C Cardiovascular Disease Past Accepting new patients
Hala Nahhas, M.D., PLLC Past Accepting new patients

Locations

2010 15th St
Bay City, MI 48708
Phone (989) 893-8361

1695 12 Mile Rd
Ste 245
Berkley, MI 48072
Phone (248) 307-7275

5479 Schaefer Rd
Dearborn, MI 48126
Phone (313) 357-2225

5250 Auto Club Dr
Ste 170
Dearborn, MI 48126
Phone (313) 359-8300

1360 Porter St
Ste 100
Dearborn, MI 48124
Phone (313) 724-9000

5250 Auto Club Dr
Ste 300
Dearborn, MI 48126
Phone (313) 724-9000

G3267 Beecher Rd
Flint, MI 48532
Phone (248) 331-7239

9029 Pardee Rd
Taylor, MI 48180
Phone (313) 292-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIGBA
  • Direct secure messaging: ekassab1134204@direct.hfhs.org

Organizations & group practices 10

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1922076835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-724-9000",
            "fax_number": "313-562-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-724-9000",
            "fax_number": "313-562-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "ELIAS",
        "middle_name": "HABIB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301047006",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047006",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301047006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "060007968",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE NETWORK",
            "identifier": "P51229",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF MI",
            "identifier": "0Q26305002",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910717",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.