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SUHA KASSAB DPM PC
NPI 1619149010
Podiatrist in Bloomfield Hills, MI

Active since March 26, 2008
10 W SQUARE LAKE RD, STE300, BLOOMFIELD HILLS, MI 48302(248) 333-4900(248) 333-4905 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suha Kassab Dpm Pc NPPES

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

SUHA KASSAB DPM PC (NPI 1619149010) is a healthcare organization registered as a podiatrist in Bloomfield Hills, Michigan and active in the NPI registry since March 2008. The organization lists Suha Kassab, President, as its authorized official.

NPPES Registry Identity

NPI1619149010
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSUHA KASSAB DPM PC
Location Address10 W SQUARE LAKE RD, STE300Bloomfield Hills, MI 48302-0465
Mailing Address10 W Square Lake Rd, Ste 300Bloomfield Hills, MI 48302-0465 · (248) 333-4900 · Fax (248) 333-4905
Phone(248) 333-4900
Fax(248) 333-4905
Organization SubpartNo
Authorized OfficialSuha KassabPresident · (248) 333-4900
Enumeration DateMarch 26, 2008
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1619149010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · SK001415
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
10 W SQUARE LAKE RD, Bloomfield Hills, MI 48302
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Other Identifiers 2

OtherSK001415MI · Bc Lincense
Medicaid2592751MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suha Kassab Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suha Kassab DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Suha Kassab, DPM
Podiatry
NPI 1902890015
10 W SQUARE LAKE RD STE. 300
Bloomfield Hills, MI 48302
(248) 333-4900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Suha Kassab Dpm PC's NPI number?

The NPI number for Suha Kassab Dpm PC is 1619149010. It was assigned to this organization in the NPPES registry on March 26, 2008.

Where is Suha Kassab Dpm PC located?

Suha Kassab Dpm PC is located at 10 W Square Lake Rd Ste300, Bloomfield Hills, MI 48302. The listed phone number is (248) 333-4900.

What is Suha Kassab Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Suha Kassab Dpm PC enrolled in Medicare?

Yes. Suha Kassab Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suha Kassab Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Suha Kassab Dpm PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Suha Kassab Dpm PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Suha Kassab Dpm PC 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 Suha Kassab Dpm PC was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.