ANTHONY J KAWA DO
NPI 1881643955
Internal Medicine - Cardiovascular Disease in St Clair Shores, MI

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
90.09/100
CMS Quality Rating
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080(586) 498-0440(586) 498-0401 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony J Kawa Do NPPES

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

ANTHONY J KAWA DO (NPI 1881643955) is an individual cardiovascular disease provider in St Clair Shores, Michigan, licensed in Michigan (5101013233) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Michigan State University College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1881643955
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANTHONY J KAWACredential: DO
Location Address24211 LITTLE MACK AVESt Clair Shores, MI 48080-1190
Mailing Address24211 Little Mack AveSt Clair Shores, MI 48080-1190 · (586) 498-0440 · Fax (586) 498-0401
Fax(586) 498-0401
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1996
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1881643955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 5101013233
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
24211 LITTLE MACK AVE, St Clair Shores, MI 48080

Other Identifiers 2

Other11MI · 11
Medicaid4391224MI

Accepted 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

Anthony J Kawa Do 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 ID5193758001
PECOS Enrollment IDI20050912001127
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 27

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
725 services285 patients
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.
636 services310 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
258 services211 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
203 services182 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
198 services165 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
182 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.56
Promoting Interoperability100
Improvement Activities40
Cost54.6

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Internal Medicine (Interventional Cardiology)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Internal Medicine (Addiction Medicine)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Student in an Organized Health Care Education/Training Program
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

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 Anthony Kawa's NPI number?

The NPI number for Anthony Kawa is 1881643955. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Anthony Kawa located?

Anthony Kawa practices at 24211 Little Mack Ave, St Clair Shores, MI 48080. The listed phone number is (586) 498-0440.

What is Anthony Kawa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Anthony Kawa enrolled in Medicare?

Yes. Anthony Kawa 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.

What insurance does Anthony Kawa 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 3 other insurers list Anthony Kawa 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 Anthony Kawa affiliated with any hospitals?

According to CMS data, Anthony Kawa is affiliated with Beaumont Hospital - Grosse Pointe, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Anthony Kawa was last updated on December 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.