DINA KASSAB (D.O.) – Obstetrics & Gynecology Physician, NPI 1205273315

DINA KASSAB (D.O.) is a healthcare provider. based in Warren, Michigan. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials D.O.. They hold a License No. 5101020600 (MI). The NPI Number for DINA KASSAB (D.O.) is 1205273315

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DINA KASSAB (D.O.)
NPI
1205273315
Phone
(586) 582-7060
Address
11885 E 12 MILE RD STE 202A
Enumeration Date
30 May 2013
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5865827150
Graduation Year
2013 (13 years ago)
PAC ID
9032415633
Group Practice PAC ID
0648180406
Professional Enrollment ID
I20171009003374
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DINA KASSAB (D.O.)

  • 11885 E 12 MILE RD STE 202A

    WARREN, MI 480933469

    Phone: (586) 582-7060

    Fax: (586) 582-7051

    Type: Mailing

  • 3950 S ROCHESTER RD STE 1450

    ROCHESTER HILLS, MI 483075162

    Phone: (248) 378-0489

    Fax: (586) 582-7051

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,613.

Total Amount is formed as General ($1,613) + Research ($0) + Ownership ($0) = $1,613.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($327).

Total Amount

$1,613

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,613

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2017-10-09

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
I20171009003374IObstetrics/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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2616$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2121$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2020$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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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: 0648180406View full group profile
NameSpecialtyState
Dentist, General Practice, Maxillofacial Surgery, General PracticeMI
-MI
Family PracticeMI
Physician AssistantMI
-MI
Family PracticeMI
N E U R O L O G YMI
Colorectal Surgery (Proctology)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

What number should I use to identify DINA KASSAB (D.O.) for billing?
Administrative and clinical systems typically use NPI 1205273315 for DINA KASSAB (D.O.).
Should I treat DINA KASSAB (D.O.) as an active provider?
Patients and plans typically see DINA KASSAB (D.O.) as active in the national extract.
What type of care does DINA KASSAB (D.O.) provide?
DINA KASSAB (D.O.)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DINA KASSAB (D.O.) in Warren, Michigan?
For routing, start with Warren, Michigan for DINA KASSAB (D.O.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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