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

Kathleen Korneli-Gradowski, PA

Individual provider Physician Assistant · NPI 1033282520

Kathleen Korneli-Gradowski, PA is a Physician Assistant in Pontiac, Michigan. Qualified in 1993, 33 years ago. Practices with Fadi Salloum MD PC, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

461 W Huron St Nomc Family Practice Ctr
Pontiac, MI 48341-1601
Phone: (248) 857-7160
Fax: (248) 857-7141
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

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002243 (MI)

Record details

NPI number1033282520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Fadi Salloum Md Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pontiac