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MS. MARCELLA KADDOURA M.D.
NPI 1750745220
Internal Medicine - Hematology & Oncology in Detroit, MI

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
4100 JOHN R ST, DETROIT, MI 48201(313) 701-3797 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2025, Mar 30, 2023, Sep 14, 2022 and 6 more (9 updates tracked since 2016).

About Ms. Marcella Kaddoura M.d. NPPES

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

MS. MARCELLA KADDOURA M.D. (NPI 1750745220) is an individual hematology & oncology provider in Detroit, Michigan, licensed in Michigan (4301515227) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Karmanos Cancer Center, and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1750745220
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMS. MARCELLA KADDOURACredential: M.D.
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address1120 Nw 14th StMiami, FL 33136-2107 · (305) 243-5302 · Fax (305) 243-5546
Phone(313) 701-3797
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateDecember 11, 20259 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1750745220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in MI · 4301515227✔ Licensed in FL · ME156700
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME156700 (FL)
4100 JOHN R ST, Detroit, MI 48201
Open in Google Maps ↗

Other Names 1

Former Name (1)Marcella Tschautscher

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Marcella Kaddoura M.d. 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 ID5193018356
PECOS Enrollment IDI20250910001899
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marcella Kaddoura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barbara Ann Karmanos Cancer Institute
Same address
Hospice and Palliative Medicine
4100 JOHN R ST
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 128 clinicians in this Medicare group
NPI 1386060226 (800) 527-6266
University Of Miami
1,087 mi
Ambulatory Surgical
7103 FAIRWAY DR
Palm Beach Gardens, FL 33418
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1346317039 (561) 515-1500

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

BARBARA ANN KARMANOS CANCER HOSPITAL
Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
Wayne County (313) 576-9350
BARBARA ANN KARMANOS CANCER CENTER
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9345
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
ANDREA P SAMPSON-HAGGOOD N.P.
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
KATHERINE BRECKENRIDGE SLP
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (800) 527-6266
KRISTEN MOERCHEN
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 831-4038
DR. STEPHEN A KAURALA
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9815
ELIZABETH HAY PHARMD
Pharmacist (Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-8807

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 Marcella Kaddoura's NPI number?

The NPI number for Marcella Kaddoura is 1750745220. It was assigned to this individual provider in the NPPES registry on April 11, 2016. The provider is also known as Marcella Tschautscher.

Where is Marcella Kaddoura located?

Marcella Kaddoura practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (313) 701-3797.

What is Marcella Kaddoura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Marcella Kaddoura enrolled in Medicare?

Yes. Marcella Kaddoura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marcella Kaddoura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcella Kaddoura reassigns Medicare benefits to 2 organizations: Barbara Ann Karmanos Cancer Institute (Detroit, MI) and University Of Miami (Palm Beach Gardens, FL). Each 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 Marcella Kaddoura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcella Kaddoura accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Marcella Kaddoura 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.

Is Marcella Kaddoura affiliated with any hospitals?

According to CMS data, Marcella Kaddoura is affiliated with Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Marcella Kaddoura was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.