KASSEM SOUFAN MD
NPI 1972170652
Family Medicine in Canton, MI

Q: What is Kassem Soufan's NPI number?

The NPI number for Kassem Soufan is 1972170652. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Kassem Soufan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kassem Soufan was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 June 09, 2021PECOS EnrolledAccepts Medicare Assignment

2050 N HAGGERTY RD, CANTON, MI 48187(734) 446-9757 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Jun 9, 2021 (2 updates tracked since 2021).

On this page

About Kassem Soufan Md NPPES

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

KASSEM SOUFAN MD (NPI 1972170652) is an individual family medicine provider in Canton, Michigan, licensed in Michigan (4301511386) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (2017).

NPPES Registry Identity

NPI1972170652

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKASSEM SOUFANCredential: MD

Location Address2050 N HAGGERTY RDCanton, MI 48187-3795

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(734) 446-9757

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2017

Enumeration DateJune 9, 2021

Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1972170652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301511386

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2050 N HAGGERTY RD, Canton, MI 48187

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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

Kassem Soufan Md 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 ID3678973591

PECOS Enrollment IDI20240822002710

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 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230142

Location33155 Annapolis AveWayne, MI 48184 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.

WESTERN WAYNE URGENT CARE PC

Internal Medicine

2050 N HAGGERTY RD, SUITE 140
CANTON, MI 48187

Wayne County (734) 259-0500

DMC BILLING ASSOCIATES LLC

Internal Medicine (Gastroenterology)

2050 N HAGGERTY RD, SUITE 200
CANTON, MI 48187

Wayne County (734) 259-0410

DR. DAVID ISAAC MARGOLIS MD

Internal Medicine

2050 N HAGGERTY RD, SUITE 100
CANTON, MI 48187

Wayne County (734) 981-1086

JOEL JOVEN

Physical Therapist

2050 N HAGGERTY RD, SUITE 280
CANTON, MI 48187

Wayne County (734) 844-0800

GERIATRIC CARE ASSOCIATES PLC

Nursing Care

2050 N HAGGERTY RD, #100
CANTON, MI 48187

Wayne County (734) 981-2909

JAMES STEWARD

Urology

2050 N HAGGERTY RD
CANTON, MI 48187

Wayne County (734) 595-1166

MRS. MEERA INDER THAWANI

Occupational Therapist

2050 N HAGGERTY RD, SUITE 280
CANTON, MI 48187

Wayne County (734) 844-0800

CRIZLYN MARIE SCHMIEDER

Occupational Therapist

2050 N HAGGERTY RD, SUITE 280
CANTON, MI 48187

Wayne County (734) 844-0800

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 Kassem Soufan's NPI number?

The NPI number for Kassem Soufan is 1972170652. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Kassem Soufan located?

Kassem Soufan practices at 2050 N Haggerty Rd, Canton, MI 48187. The listed phone number is (734) 446-9757.

What is Kassem Soufan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kassem Soufan enrolled in Medicare?

Yes. Kassem Soufan 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 Kassem Soufan 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 Kassem Soufan 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 Kassem Soufan affiliated with any hospitals?

According to CMS data, Kassem Soufan is affiliated with Beaumont Hospital Royal Oak and Corewell Health Wayne Hospital.

When was this NPI record last updated?

The NPPES record for Kassem Soufan was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.