DOMINIQUE SALAH GASSO – Physician Assistant, NPI 1225624174

DOMINIQUE SALAH GASSO is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601011051 (MI). The NPI Number for DOMINIQUE SALAH GASSO is 1225624174

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIQUE SALAH GASSO
NPI
1225624174
Phone
(419) 530-5408
Address
3000 Arlington Ave # MS 1027
Enumeration Date
15 December 2020
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
2485133719
Graduation Year
2021 (5 years ago)
PAC ID
0648652495
Group Practice PAC ID
9032448766
Professional Enrollment ID
I20220727000452
Address ID
MI483741348NO27204RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for DOMINIQUE SALAH GASSO

  • 3000 Arlington Ave # MS 1027

    Toledo, OH 436142595

    Phone: (419) 530-5408

    Type: Location

  • 37000 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483352868

    Phone: (248) 536-2127

    Type: Location

  • 6241 COUNTRY RIDGE DR

    TROY, MI 480985375

    Phone: (248) 515-1478

    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: 2022-07-27

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
I20220727000452IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes5347$0
87804Detection test by immunoassay with direct visual observation for influenza virus3717$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3431$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 9032448766View full group profile

Reviews

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Frequently asked questions

What is DOMINIQUE SALAH GASSO's NPI number?
DOMINIQUE SALAH GASSO's NPI is 1225624174 — the number used across U.S. healthcare to identify this provider.
Is DOMINIQUE SALAH GASSO shown as active in public data?
Registry records indicate DOMINIQUE SALAH GASSO maintains an active NPI.
What kind of doctor is DOMINIQUE SALAH GASSO?
DOMINIQUE SALAH GASSO is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is DOMINIQUE SALAH GASSO registered?
Use Toledo, Ohio as the headline location for DOMINIQUE SALAH GASSO here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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