NADINE SARSAM KASSAB MD
NPI 1013650167
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Nadine Kassab's NPI number?

The NPI number for Nadine Kassab is 1013650167. It was assigned to this individual provider in the NPPES registry on April 17, 2022.

Q: What is Nadine Kassab's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nadine Kassab was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2022PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2025, Apr 17, 2022 (2 updates tracked since 2022).

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About Nadine Sarsam Kassab Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NADINE SARSAM KASSAB MD (NPI 1013650167) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013650167

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNADINE SARSAM KASSABCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address5333 Mcauley Dr Rm 4001Ypsilanti, MI 48197-1099

Phone(313) 916-2600

Sole ProprietorYes

Enumeration DateApril 17, 2022

Last NPPES UpdateMarch 22, 20252 updates tracked since enumeration

NPPES CertifiedMarch 22, 2025

✔ NPI 1013650167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nadine Sarsam Kassab Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital