YASSER AL KHATIB MD
NPI 1053311779
Pediatrics - Pediatric Cardiology in Grand Rapids, MI
About Yasser Al Khatib Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YASSER AL KHATIB MD (NPI 1053311779) is an individual pediatric cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301084773) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yasser Al Khatib Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Yasser Al Khatib's NPI number?
The NPI number for Yasser Al Khatib is 1053311779. It was assigned to this individual provider in the NPPES registry on July 22, 2005. The provider is also known as Yasser Al-Khatib MD.
Where is Yasser Al Khatib located?
Yasser Al Khatib practices at 25 Michigan St NE Ste 4200, Grand Rapids, MI 49503. The listed phone number is (616) 267-9150.
What is Yasser Al Khatib's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Yasser Al Khatib enrolled in Medicare?
Yes. Yasser Al Khatib is registered in the Medicare PECOS enrollment system.
What insurance does Yasser Al Khatib accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Yasser Al Khatib as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Yasser Al Khatib was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Yasser Al Khatib, MD · NPI 1053311779
Pediatric Cardiology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1053311779 (Entity type: Individual)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 4301084773 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 MICHIGAN ST NE STE 4200, Grand Rapids, MI 49503-2559
- **Phone:** (616) 267-9150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053311779) · Data from the CMS NPPES public registry.