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WASSAN JAWAD KADHIM MD
NPI 1043884257
Internal Medicine in Eastpointe, MI

Active since May 13, 2021PECOS Enrolled
21811 KELLY RD, EASTPOINTE, MI 48021(586) 649-3388(586) 842-3766 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2024, May 13, 2021 (2 updates tracked since 2021).

About Wassan Jawad Kadhim Md NPPES

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

WASSAN JAWAD KADHIM MD (NPI 1043884257) is an individual internal medicine provider in Eastpointe, Michigan, licensed in Michigan (4301510780) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043884257
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameWASSAN JAWAD KADHIMCredential: MD
Location Address21811 KELLY RDEastpointe, MI 48021-2704
Mailing Address21811 Kelly RdEastpointe, MI 48021-2704 · (586) 649-3388 · Fax (586) 842-3766
Phone(586) 649-3388
Fax(586) 842-3766
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1043884257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301510780
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
21811 KELLY RD, Eastpointe, MI 48021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wassan Jawad Kadhim 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.

Medicare Billing Reassignment

Medicare enrollment records show Wassan Kadhim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Physicians Group Of Michigan, PLLC
1,150 mi
Internal Medicine
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1992392393 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. AHMAD ELGHOROURY D.O.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
DR. PETER CHARLES DODENHOFF DO, PC
Family Medicine
21811 KELLY RD, SUITE 107
EASTPOINTE, MI 48021
Macomb County (586) 773-0200
DR. TONY MICHAEL ABOOD D.O.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
MR. ROBERT PAUL KINGSCOTT RPH
Pharmacist (Geriatric)
21811 KELLY RD, SUITE 103
EASTPOINTE, MI 48021
Macomb County (586) 498-7600
MIRETTE ATNAS
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
FLURA S. DAWDE M.D.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
DR. SRIKAR T REDDY M.D.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
DEDICATED PHYSICIANS GROUP OF MICHIGAN PLLC
Non-Pharmacy Dispensing Site
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wassan Kadhim's NPI number?

The NPI number for Wassan Kadhim is 1043884257. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Wassan Kadhim located?

Wassan Kadhim practices at 21811 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 649-3388.

What is Wassan Kadhim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wassan Kadhim enrolled in Medicare?

Yes. Wassan Kadhim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wassan Kadhim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wassan Kadhim reassigns Medicare benefits to Dedicated Physicians Group Of Michigan, PLLC (Miami Gardens, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wassan Kadhim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wassan Kadhim was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.