KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1477879492

KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) is a healthcare provider. based in Keego harbor, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 5601005325 (MI). The NPI Number for KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) is 1477879492

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT)
NPI
1477879492
Phone
(313) 283-8258
Address
3231 CHRISTOPHER LN APT 318
Enumeration Date
15 April 2010
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489645111
Graduation Year
2008 (18 years ago)
PAC ID
3870781875
Group Practice PAC ID
3072875889
Professional Enrollment ID
I20101216001115
Address ID
MI480851117TR44201ECXX401

Contacts

Secure Messaging
cwillner365576@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT)

  • 3231 CHRISTOPHER LN APT 318

    KEEGO HARBOR, MI 483201352

    Phone: (313) 283-8258

    Type: Mailing

  • 28050 Grand River Ave

    Farmington Hills, MI 483365919

    Phone: (947) 521-8196

    Fax: (248) 471-8896

    Type: Location

  • 23077, Greenfield Road, Southfield, Oakland County, Michigan, 48075, United States

    STE 485

    SOUTHFIELD, MI 48075

    Phone: (248) 552-9050

    Fax: (248) 552-1290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-16

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
I20101216001115IPhysician AssistantMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8280$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4343$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48320)

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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: 3072875889View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) in the U.S.?
In the U.S., KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) is identified by NPI 1477879492.
Quick check: is KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) active?
Public NPPES data shows KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) with an active NPI status right now.
Which specialty label fits KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT)?
NPPES ties KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT)?
KONAN EUGENE KOUASSI (PHYSICIAN ASSISTANT) is associated with Keego Harbor, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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