YASSER AL KHATIB MD – NPI #1053311779
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

YASSER AL KHATIB is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1053311779 to YASSER AL KHATIB on July 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name YASSER AL-KHATIB. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was last updated on Oct 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for YASSER AL KHATIB below.

NPI Profile for
YASSER AL KHATIB

NPI Number
1053311779
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
YASSER AL KHATIB
Other Name: YASSER AL-KHATIB
Credentials
MD
Primary location
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503-2559
Phone: (616) 267-9150 Fax:
Mailing address
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
MI 4301084773
208000000X
- Pediatrics
MI 4301084773
207RI0011X
- Internal Medicine / Interventional Cardiology
MI 4301084773
207RA0002X
- Internal Medicine / Adult Congenital Heart Disease
MI 4301084773

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
25 MICHIGAN ST NE STE 4200,
GRAND RAPIDS, MI 77025-1669

Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
25 MICHIGAN ST NE STE 4200,
GRAND RAPIDS, MI 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.