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DR. KHAYRI KASSAB
NPI 1578743605
Dentist - General Practice in Lathrup Village, MI

Active since November 06, 2007PECOS Enrolled
18161 W 12 MILE RD, SUIT 2, LATHRUP VILLAGE, MI 48076(248) 552-0777(248) 552-3777 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Khayri Kassab NPPES

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

DR. KHAYRI KASSAB (NPI 1578743605) is an individual general practice provider in Lathrup Village, Michigan, licensed in Michigan (2901019220) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578743605
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KHAYRI KASSAB
Location Address18161 W 12 MILE RD, SUIT 2Lathrup Village, MI 48076-2662
Mailing Address30480 Shoreham StSouthfield, MI 48076-5368 · (248) 790-3738 · Fax (248) 552-3777
Phone(248) 552-0777
Fax(248) 552-3777
Sole ProprietorYes
Enumeration DateNovember 6, 2007
✔ NPI 1578743605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901019220
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

18161 W 12 MILE RD, Lathrup Village, MI 48076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Khayri Kassab 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 48076 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 8

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

COMMUNITY DENTISTRY PLUS,P,C
Dentist (General Practice)
18161 W 12 MILE RD, SUIT 2
LATHRUP VILLAGE, MI 48076
Oakland County (248) 790-3738
RAVEEND THABOLINGAM MD PC
Internal Medicine
18161 W 12 MILE RD, SUITE 2
LATHRUP VILLAGE, MI 48076
Oakland County (248) 552-1200
DR. STEPHEN MICHAEL NAPOLITANO DDS
Dentist (General Practice)
18161 W 12 MILE RD, L3
LATHRUP VILLAGE, MI 48076
Oakland County (248) 559-2833
ALLIED REHAB SERVICES, INC
Clinic/Center (Physical Therapy)
18161 W 12 MILE RD, SUITE 4A
LATHRUP VILLAGE, MI 48076
Oakland County (248) 792-6951
MR. MANHAL WADIE TOBIA MD
Internal Medicine
18161 W 12 MILE RD, STE 2
LATHRUP VILLAGE, MI 48076
Oakland County (248) 552-1200
PRIMARY CARE CENTER
Internal Medicine
18161 W 12 MILE RD, SUITE 4
LATHRUP VILLAGE, MI 48076
Oakland County (248) 443-7140
DR. MICHAEL A. NAPOLITANO D.D.S.
Dentist (General Practice)
18161 W 12 MILE RD
LATHRUP VILLAGE, MI 48076
Oakland County (248) 559-2833
EXCEL RX LLC
Pharmacy (Community/Retail Pharmacy)
18161 W 12 MILE RD, SUITE 4
LATHRUP VILLAGE, MI 48076
Oakland County (248) 559-8888

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 Khayri Kassab's NPI number?

The NPI number for Khayri Kassab is 1578743605. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Khayri Kassab located?

Khayri Kassab practices at 18161 W 12 Mile Rd Suit 2, Lathrup Village, MI 48076. The listed phone number is (248) 552-0777.

What is Khayri Kassab's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Khayri Kassab enrolled in Medicare?

Yes. Khayri Kassab is registered in the Medicare PECOS enrollment system.

What insurance does Khayri Kassab accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Khayri Kassab 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 Khayri Kassab was last updated on November 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.