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

Dr. Prem Barry Kissoondial, MD

Individual provider Family Medicine Physician · NPI 1437246451

Dr. Prem Barry Kissoondial, MD is a Family Practice in Mount Pleasant, Michigan. Qualified in 1991, 35 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2591 S Leaton Rd
Mount Pleasant, MI 48858-8421
Phone: (989) 775-4600
Fax: (989) 775-4680
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301066299 (MI)

Record details

NPI number1437246451
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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