BASHIR JACOB KASPO II MD
NPI 1205629607
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Bashir Kaspo's NPI number?

The NPI number for Bashir Kaspo is 1205629607. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Q: What is Bashir Kaspo'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 Bashir Kaspo was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 28, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(248) 425-1911 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bashir Jacob Kaspo Ii Md NPPES

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

BASHIR JACOB KASPO II MD (NPI 1205629607) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205629607

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBASHIR JACOB KASPO IICredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689

Phone(248) 425-1911

Sole ProprietorNo

Enumeration DateMay 28, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1205629607 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)

Bashir Jacob Kaspo Ii 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.

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