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KATHLEEN DUSSAN MD
NPI 1952530818
Internal Medicine in Ann Arbor, MI

Active since July 13, 2009PECOS Enrolled
2215 FULLER RD, AMBULATORY MEDICINE OFFICE, ANN ARBOR, MI 48105(734) 769-7100 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Dussan Md NPPES

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

KATHLEEN DUSSAN MD (NPI 1952530818) is an individual internal medicine provider in Ann Arbor, Michigan, licensed in Michigan (4301094150) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952530818
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHLEEN DUSSANCredential: MD
Location Address2215 FULLER RD, AMBULATORY MEDICINE OFFICEAnn Arbor, MI 48105-2303
Mailing Address2215 N. Fuller Drive, Ambulatory Medicine OfficeAnn Arbor, MI 48105
Phone(734) 769-7100
Sole ProprietorYes
Enumeration DateJuly 13, 2009
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1952530818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301094150
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2215 FULLER RD, Ann Arbor, MI 48105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Dussan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 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
$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.

MS. CONSTANCE LAROSA RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
THOMAS F CURRAN
Anesthesiology
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5342
MRS. NICHELLE BOWMAN RN
Registered Nurse
2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3914
MRS. CAREY ANN MICHEL RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 222-4230
JACQUELYN VANZILE LPCC
Counselor (Mental Health)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
CARRIE JO HERNANDEZ RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5598
ERIC PATTERSON PTA
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3829
MS. AMIE RICHARDSON
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

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 Kathleen Dussan's NPI number?

The NPI number for Kathleen Dussan is 1952530818. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Kathleen Dussan located?

Kathleen Dussan practices at 2215 Fuller Rd Ambulatory Medicine Office, Ann Arbor, MI 48105. The listed phone number is (734) 769-7100.

What is Kathleen Dussan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathleen Dussan enrolled in Medicare?

Yes. Kathleen Dussan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Dussan was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.