KENAN ASBAHI – Obstetrics & Gynecology Physician, NPI 1053653204

KENAN ASBAHI is a healthcare provider. based in Lake orion, Michigan. specializing in Obstetrics & Gynecology Physician. They hold a License No. 127814 (FL). The NPI Number for KENAN ASBAHI is 1053653204

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KENAN ASBAHI
NPI
1053653204
Phone
(248) 693-0543
Address
1428 S Lapeer Rd
Enumeration Date
25 March 2013
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486930543
Graduation Year
2013 (13 years ago)
PAC ID
4284932682
Group Practice PAC ID
1254355878
Professional Enrollment ID
I20180207000653
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for KENAN ASBAHI

  • 1428 S Lapeer Rd

    Lake Orion, MI 483601437

    Phone: (248) 693-0543

    Type: Location

  • 1190 NW 95th St Ste 306

    Miami, FL 331502066

    Phone: (305) 693-0000

    Type: Location

  • 3990 John R St

    Detroit, MI 482012018

    Phone: (313) 993-4030

    Type: Location

  • 7390 RAFFORD LN

    WEST BLOOMFIELD, MI 483223190

    Phone: (248) 633-5996

    Type: Mailing

  • 1428 S LAPEER RD

    LAKE ORION, MI 483601437

    Phone: (248) 693-0543

    Type: Location

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone:

    Type: Mailing

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (313) 916-2600

    Fax: (313) 876-1305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Gynesonics, Inc. ($149).

Total Amount

$273

General + Research + Ownership

Payments

4

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180207000653IObstetrics/GynecologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254355878View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Gynecological Oncology, Obstetrics/GynecologyMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to KENAN ASBAHI?
NPI 1053653204 is assigned to KENAN ASBAHI under the national enumeration system.
Is KENAN ASBAHI currently active in the NPI registry?
CMS-published data lists KENAN ASBAHI as an active registrant.
Does KENAN ASBAHI list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for KENAN ASBAHI. Clinical services aligned with this taxonomy classification.
Where does public data place KENAN ASBAHI?
The snapshot lists Lake Orion, Michigan for KENAN ASBAHI; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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