KASSEM BOURGI (MD) – Internal Medicine Physician, NPI 1780948299

KASSEM BOURGI (MD) is a healthcare provider. based in Detroit, Michigan. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 71966 (TN). The NPI Number for KASSEM BOURGI (MD) is 1780948299

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KASSEM BOURGI (MD)
NPI
1780948299
Phone
(313) 916-9100
Address
2799 W GRAND BLVD
Enumeration Date
28 June 2012
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
8426280983
Group Practice PAC ID
8325950843
Professional Enrollment ID
I20180821000750
Address ID
IN465451469MI5215XPKWY400

Contacts

Secure Messaging
kbourgi@direct.iuhealth.org
Secure Messaging
kassem.bourgi.1@25571.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:13State licenses:3Other namesUpdated within 12 months

339 INFECTIOUS DISEASE in MI

Provider Addresses for KASSEM BOURGI (MD)

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (313) 916-9100

    Type: Mailing

  • 720 Eskenazi Ave

    Indianapolis, IN 462025187

    Phone: (317) 962-0953

    Fax: (317) 274-1587

    Type: Location

  • 550 University Blvd Ste 2180

    Indianapolis, IN 462025149

    Phone: (331) 727-4500

    Fax: (317) 948-1289

    Type: Location

  • 611 E Douglas Rd Ste 309

    Mishawaka, IN 465451467

    Phone: (574) 335-6770

    Fax: (574) 335-0779

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 720 ESKENAZI AVE

    INDIANAPOLIS, IN 462025187

    Phone: (317) 962-0953

    Fax: (317) 274-1587

    Type: Location

  • PO BOX 31609

    BELFAST, ME 049150169

    Phone: (615) 499-7406

    Fax: (833) 968-2944

    Type: Mailing

  • 442 METROPLEX DR STE 200

    NASHVILLE, TN 372113112

    Phone: (615) 499-7406

    Fax: (833) 968-2944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $14,281.

Total Amount is formed as General ($14,281) + Research ($0) + Ownership ($0) = $14,281.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($7,474).

Total Amount

$14,281

General + Research + Ownership

Payments

52

Total payment records

General Amount

$14,281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2018-08-21

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
I20180821000750IInfectious DiseaseINTBD

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 minutes5130$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4419$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3130$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 8325950843View full group profile
NameSpecialtyState
Family PracticeIN
Nurse PractitionerIN
Internal Medicine, Family Practice, Emergency MedicineIN
-IN
-IN
N E U R O L O G YIL
-IN
-IN
U R O L O G YFL
Physician AssistantMN

Reviews

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Frequently asked questions

What NPI should I save for KASSEM BOURGI (MD)?
Save NPI 1780948299 if you need a stable reference for KASSEM BOURGI (MD).
Is KASSEM BOURGI (MD) active in the national directory?
KASSEM BOURGI (MD)'s public NPI profile is in an active state.
Does KASSEM BOURGI (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for KASSEM BOURGI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for KASSEM BOURGI (MD)?
The page summarizes Detroit, Michigan for KASSEM BOURGI (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.