RAWAN F. KASSAR (MD) – Infectious Disease Physician, NPI 1013362359
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 INFECTIOUS DISEASE in UT
Provider Addresses for RAWAN F. KASSAR (MD)
15 N Medical Dr Ste 1100
Salt Lake City, UT 841121100
Phone: (801) 583-2787
Type: Location
1215 E Michigan Ave
Lansing, MI 489121811
Phone: (517) 364-1000
Fax: (517) 355-2134
Type: Location
4650 S Hagadorn Rd Ste 100
East Lansing, MI 488235386
Phone: (517) 353-4830
Fax: (517) 355-2134
Type: Location
1100, South Grand Boulevard, Gate District, City of Saint Louis, Missouri, 63104, United States
CENTER FOR VACCINE DEVELOPMENT
SAINT LOUIS, MO 631041015
Phone: (314) 977-9044
Type: Mailing
804 SERVICE RD STE A202
EAST LANSING, MI 488247015
Phone: (517) 353-4830
Fax: (517) 355-2134
Type: Mailing
40 MEDICAL PARK STE 404
WHEELING, WV 260036392
Phone: (304) 243-2984
Fax: (304) 243-6306
Type: Location
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 841121100
Phone: (801) 583-2787
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: 2025-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240208001564 | I | Infectious Disease | WV | TBD |
| I20250819004683 | I | Infectious Disease | MI | TBD |
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.
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 84112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | MI | |
| Osteopathic Manipulative Medicine | MI | |
| Family Practice | MI | |
| Osteopathic Manipulative Medicine | MI | |
| - | MI | |
| Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine | MI | |
| Osteopathic Manipulative Medicine | MI | |
| - | MI | |
| Internal Medicine | MI | |
| P S Y C H I A T R Y | MI |
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