KAWTHER ELSOURI DO
NPI 1306699392
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Q: What is Kawther Elsouri's NPI number?

The NPI number for Kawther Elsouri is 1306699392. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Q: What is Kawther Elsouri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kawther Elsouri was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 09, 2024PECOS Enrolled

275 MICHIGAN ST NE FL 11, GRAND RAPIDS, MI 49503(616) 267-7104 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Feb 7, 2025, Jun 24, 2024 and 1 more (4 updates tracked since 2024).

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About Kawther Elsouri Do NPPES

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

KAWTHER ELSOURI DO (NPI 1306699392) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (5151016853) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306699392

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameKAWTHER ELSOURICredential: DO

Location Address275 MICHIGAN ST NE FL 11Grand Rapids, MI 49503-2531

Mailing Address275 Michigan St Ne Fl 11Grand Rapids, MI 49503-2531 · (616) 267-7104

Phone(616) 267-7104

Sole ProprietorNo

Enumeration DateApril 9, 2024

Last NPPES UpdateMay 12, 20264 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1306699392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 5151016853

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

275 MICHIGAN ST NE FL 11, Grand Rapids, MI 49503

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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)

Kawther Elsouri Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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