KENNETH ELMASSIAN (DO) – Anesthesiology Physician, NPI 1780656561

KENNETH ELMASSIAN (DO) is a healthcare provider. based in East lansing, Michigan. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. KE007148 (MI). The NPI Number for KENNETH ELMASSIAN (DO) is 1780656561

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH ELMASSIAN (DO)
NPI
1780656561
Phone
(517) 339-2579
Address
2399 PINE HOLLOW DR
Enumeration Date
6 February 2006
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5179756000
Graduation Year
1976 (50 years ago)
PAC ID
1658446075
Group Practice PAC ID
8628975968
Professional Enrollment ID
I20080820000318
Address ID
MI489108394LA2900XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

Provider Addresses for KENNETH ELMASSIAN (DO)

  • 2399 PINE HOLLOW DR

    EAST LANSING, MI 488239775

    Phone: (517) 339-2579

    Fax: (517) 482-6280

    Type: Mailing

  • 2900 COLLINS RD # 106

    LANSING, MI 489108394

    Phone: (517) 482-2118

    Fax: (517) 482-6280

    Type: Location

  • 1749 HAMILTON RD STE 102E

    OKEMOS, MI 488641941

    Phone: (517) 482-2118

    Fax: (517) 482-6280

    Type: Mailing

  • 405, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States

    #106

    LANSING, MI 489102898

    Phone: (517) 482-2118

    Fax: (517) 482-6280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Becton, Dickinson and Company ($62).

Total Amount

$62

General + Research + Ownership

Payments

1

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2008-08-20

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
I20080820000318IAnesthesiologyMITBD

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 48823)

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Provider's Procedures

KENNETH ELMASSIAN (DO) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMI00142Anesthesia for lens surgery4339
ANESTHESIOLOGYMI36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2626

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: 8628975968View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Does KENNETH ELMASSIAN (DO) have a public NPI I can cite?
Public records show KENNETH ELMASSIAN (DO) under NPI 1780656561.
Quick check: is KENNETH ELMASSIAN (DO) active?
Public NPPES data shows KENNETH ELMASSIAN (DO) with an active NPI status right now.
What type of care does KENNETH ELMASSIAN (DO) provide?
KENNETH ELMASSIAN (DO)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENNETH ELMASSIAN (DO)?
KENNETH ELMASSIAN (DO) is associated with East Lansing, Michigan in the same public data insurers reference.
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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