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

Q: 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.

Q: What is Anthony Kawa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Kawa was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 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: October 18, 2026.

On this page

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

Phone(586) 498-0440

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

Open in Google Maps ↗

Other Identifiers 2

Other11MI · 11

Medicaid4391224MI

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Kawa reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eastlake Cardiovascular PC

Same address

Cardiovascular Disease

24211 LITTLE MACK AVE
St Clair Shores, MI 48080

Reassigned Medicare billing, Michigan enrollment
26 clinicians in this Medicare group

NPI 1982657474 (586) 498-0440

Henry Ford Health St. John Hospital

2.4 mi

Otolaryngology

21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081

Reassigned Medicare billing, Michigan enrollment
520 clinicians in this Medicare group

NPI 1376820605 (586) 779-7610

Henry Ford Health Macomb Oakland Hospital

5.4 mi

Cardiovascular Disease

11800 E 12 MILE RD
Warren, MI 48093

Reassigned Medicare billing, Michigan enrollment
57 clinicians in this Medicare group

NPI 1518124320 (586) 573-5000

Ascension Providence Hospital

17 mi

Psychiatry

16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Henry Ford Health Providence Hospital
393 clinicians in this Medicare group

NPI 1619932670 (248) 849-3000

Henry Ford Health Rochester Hospital

19 mi

Family Medicine

1101 W UNIVERSITY DR
Rochester, MI 48307

Reassigned Medicare billing, Michigan enrollment
59 clinicians in this Medicare group

NPI 1184747263 (248) 652-5000

Mclaren Oakland

22 mi

General Practice

50 N PERRY ST
Pontiac, MI 48342

Reassigned Medicare billing, Michigan enrollment
76 clinicians in this Medicare group

NPI 1790055143 (248) 338-5000

Mclaren Medical Group

46 mi

Diagnostic Radiology

1254 N MAIN ST
Lapeer, MI 48446

Reassigned Medicare billing, Michigan enrollment
416 clinicians in this Medicare group

NPI 1073650750 (810) 664-4531

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

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

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

122 services122 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

98 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

95 services53 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

63 services62 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

55 services55 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

55 services55 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

43 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

25 services25 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

24 services19 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

23 services18 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

23 services18 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

19 services13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

16 services16 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

16 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services14 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

13 services13 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

12 services12 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

12 services12 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

11 services11 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 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

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230207

Location50 N Perry StPontiac, MI 48342 · Oakland 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

Quality

79.56

Promoting Interoperability

100

Improvement Activities

Cost

54.6

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.

ZAID KASMIKHA D.O.

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

DR. GEORGE B GHANEM MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

THOMAS PATRICK DAVIS MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

DR. DAVID JOSE RODRIGUEZ M.D.

Internal Medicine (Interventional Cardiology)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

THOMAS ALEXANDER LALONDE MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

MARC OLIVER GOSSELIN DO

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

RUDY J VERVAEKE MD PLC

Internal Medicine (Addiction Medicine)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 775-7400

DR. DOMENIC G GROSSO D.O.

Student in an Organized Health Care Education/Training Program

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

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.

Which organizations bill Medicare for Anthony Kawa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Kawa reassigns Medicare benefits to 7 organizations: Eastlake Cardiovascular PC (St Clair Shores, MI), Henry Ford Health St. John Hospital (Saint Clair Shores, MI), Henry Ford Health Macomb Oakland Hospital (Warren, MI), Ascension Providence Hospital (Southfield, MI), Henry Ford Health Rochester Hospital (Rochester, MI) and 2 more organizations, listed in the Medicare section above. 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 Anthony Kawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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 Macomb Oakland Hosp-Warren Campus, Mclaren Oakland, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.