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MS. CARLY LYNN KASSA
NPI 1083106140
Nurse Practitioner - Gerontology in Pontiac, MI

Active since June 05, 2018PECOS Enrolled
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5645(248) 338-5547 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Carly Lynn Kassa NPPES

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

MS. CARLY LYNN KASSA (NPI 1083106140) is an individual gerontology provider in Pontiac, Michigan, licensed in Michigan (4704297338) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083106140
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. CARLY LYNN KASSA
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address232 Grace AvuenueRochester Hills, MI 48307 · (248) 227-2897
Phone(248) 338-5645
Fax(248) 338-5547
Sole ProprietorNo
Enumeration DateJune 5, 2018
✔ NPI 1083106140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704297338
50 N PERRY ST, Pontiac, MI 48342
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carly Lynn Kassa 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 Carly Kassa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ghiath Tayeb MD PC
9.7 mi
Gastroenterology
1555 SOUTH BLVD E, SUITE 320
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1780613919 (248) 651-0800

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 48342 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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 20

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

THAMILARASI SUBRAMANIAN
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. CORY ERIC MANOOGIAN DO
Psychiatry & Neurology (Psychiatry)
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 384-8130
DR. ESSA HANNA HATTAR MD
Family Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5392
IMPACT ACO BILLING COMPANY LLC
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5516
ANDREW CHARLES ABIRAGI
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5300
MARTIN ANTONIO RIVERA
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
SHALIN R LASHKARI MSPT
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. MICHAEL CHRISTOPHER DETTLOFF D.O.
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000

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 Carly Kassa's NPI number?

The NPI number for Carly Kassa is 1083106140. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Carly Kassa located?

Carly Kassa practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5645.

What is Carly Kassa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Carly Kassa enrolled in Medicare?

Yes. Carly Kassa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Kassa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Kassa reassigns Medicare benefits to Ghiath Tayeb MD PC (Rochester Hills, MI). 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 Carly Kassa'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 Carly Kassa was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.