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

Q: 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.

Q: What is Marcella Kaddoura's specialty?

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

Q: 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 8 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 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: August 23, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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