FADI BASEEM KASSIS – Physician Assistant, NPI 1982061313

FADI BASEEM KASSIS is a healthcare provider. based in Grand rapids, Michigan. specializing in Physician Assistant. They hold a License No. 5601007661 (MI). The NPI Number for FADI BASEEM KASSIS is 1982061313

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
FADI BASEEM KASSIS
NPI
1982061313
Phone
(616) 391-1680
Address
100 MICHIGAN ST NE
Enumeration Date
15 January 2016
Last Update Date
15 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6167727514
Graduation Year
2015 (11 years ago)
PAC ID
0345543336
Group Practice PAC ID
5193616225
Professional Enrollment ID
I20160126000742
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for FADI BASEEM KASSIS

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-1680

    Type: Location

  • 2537 MOMENTUM PL

    CHICAGO, IL 606895325

    Phone: (616) 975-1845

    Fax: (616) 285-0846

    Type: Mailing

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: 2016-01-26

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
I20160126000742IPhysician 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
99285Emergency department visit with high level of medical decision making5554$0
99284Emergency department visit with moderate level of medical decision making4141$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 5193616225View full group profile

Reviews

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Frequently asked questions

How is FADI BASEEM KASSIS identified in CMS data?
CMS-hosted NPPES data lists FADI BASEEM KASSIS with NPI 1982061313.
Does the file indicate FADI BASEEM KASSIS is practicing under active NPI?
Directory data currently reports FADI BASEEM KASSIS as active.
What is FADI BASEEM KASSIS's primary classification?
Physician Assistant is the headline specialty for FADI BASEEM KASSIS here. Clinical services aligned with this taxonomy classification.
Where is FADI BASEEM KASSIS based?
FADI BASEEM KASSIS is tied to Grand Rapids, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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