GHASSAN NAISAN – Internal Medicine Physician, NPI 1104494236

GHASSAN NAISAN is a healthcare provider. based in Grand blanc, Michigan. specializing in INTERNAL MEDICINE. They hold a License No. 5315226786 (MI). The NPI Number for GHASSAN NAISAN is 1104494236

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
GHASSAN NAISAN
NPI
1104494236
Phone
(810) 606-5000
Address
1 Genesys Pkwy
Enumeration Date
15 June 2021
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9898391644
Graduation Year
2021 (5 years ago)
PAC ID
4082147574
Group Practice PAC ID
4981501939
Professional Enrollment ID
I20241022004403
Address ID
MI486700001MI4000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for GHASSAN NAISAN

  • 1 Genesys Pkwy

    Grand Blanc, MI 484398065

    Phone: (810) 606-5000

    Type: Location

  • 1 GENESYS PKWY

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5000

    Type: Location

  • 5450 FORT ST

    TRENTON, MI 481834601

    Phone:

    Type: Mailing

  • 4000 WELLNESS DR

    MIDLAND, MI 486702000

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: GENZYME CORPORATION ($31).

Total Amount

$173

General + Research + Ownership

Payments

8

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

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: 2024-10-22

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
I20241022004403IInternal MedicineMITBD

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 48439)

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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: 4981501939View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
-MI
Internal MedicineMI
Nurse PractitionerMI
-MI
Hospitalist, Internal MedicineMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Internal MedicineMI

Reviews

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Frequently asked questions

What federal number belongs to GHASSAN NAISAN?
The federal identifier for GHASSAN NAISAN is NPI 1104494236.
Is GHASSAN NAISAN's NPI currently valid?
The extract we use shows GHASSAN NAISAN as active.
What kind of provider is GHASSAN NAISAN?
The page reflects Internal Medicine Physician for GHASSAN NAISAN. Clinical services aligned with this taxonomy classification.
Does GHASSAN NAISAN practice in Michigan?
You will see Grand Blanc, Michigan on file for GHASSAN NAISAN alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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