TABETHA KASSAB OT
NPI 1508444589
Physician Assistant in Livonia, MI

Q: What is Tabetha Kassab's NPI number?

The NPI number for Tabetha Kassab is 1508444589. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Tabetha Kassab's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tabetha Kassab was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 31, 2021PECOS EnrolledAccepts Medicare Assignment

20010 FARMINGTON RD, LIVONIA, MI 48152(248) 471-7171(248) 471-1212 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Mar 6, 2026, Dec 23, 2025 and 2 more (5 updates tracked since 2021).

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About Tabetha Kassab Ot NPPES

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

TABETHA KASSAB OT (NPI 1508444589) is an individual physician assistant in Livonia, Michigan, licensed in Michigan (5601011082) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomfield Hills, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508444589

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTABETHA KASSABCredential: OT

Location Address20010 FARMINGTON RDLivonia, MI 48152-1408

Mailing Address20010 Farmington RdLivonia, MI 48152-1408 · (248) 471-7171 · Fax (248) 471-1212

Phone(248) 471-7171

Fax(248) 471-1212

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1508444589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011082

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedOccupational TherapistTaxonomy 225X00000X

20010 FARMINGTON RD, Livonia, MI 48152

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Secondary Practice Location 1

Location 141000 Woodward AveBloomfield Hills, MI 48304-5130 · Phone (248) 850-1000 · Fax (248) 694-5200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tabetha Kassab Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830564178

PECOS Enrollment IDI20230418002814

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

112 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48152 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

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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.

DONALD WILLIAM BOOTH MSW, CSW, ACSW

Social Worker (Clinical)