Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Casem Ballouk, MD

Individual provider General Practice Physician · NPI 1649851924

Dr. Casem Ballouk, MD is a Pathology in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Bc Collective of Ga LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (312) 480-5473
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 4301510121 (MI)

Record details

NPI number1649851924
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2021
Last updated in NPPESJuly 20, 2023
Certification dateJune 21, 2021
Mailing address3990 John R St, Detroit, MI 48201-2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bc Collective Of Ga Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Detroit