Yasser Al Khatib, MD
Yasser Al Khatib, MD is a Pediatric Cardiology Physician in Grand Rapids, MI, registered under NPI 1053311779. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 25 MICHIGAN ST NE STE 4200, Grand Rapids, MI 49503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4301084773 | MI | Pediatric Cardiology Physician primary |
| 4301084773 | MI | Adult Congenital Heart Disease Physician |
| 4301084773 | MI | Interventional Cardiology Physician |
| 4301084773 | MI | Pediatrics Physician |
This provider holds licence 4301084773 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Cardiovascular Disease (cardiology)
- PAC ID
- 3971580705
- Enrollment ID
- I20150129002304
Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiovascular Disease (cardiology). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Cardiology covers
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. NUCC Health Care Provider Taxonomy, code 2080P0202X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0202X | Pediatric Cardiology Physician Pediatric Cardiology | 4301084773 | MI | primary |
| 207RA0002X | Adult Congenital Heart Disease Physician Adult Congenital Heart Disease | 4301084773 | MI | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 4301084773 | MI | |
| 208000000X | Pediatrics Physician | 4301084773 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1053311779 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 22, 2005 |
| Last updated | Oct 21, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
25 MICHIGAN ST NE STE 4200 Grand Rapids, MI 49503 (616) 267-9150 |
| Mailing address |
100 MICHIGAN ST NE MC 845 Grand Rapids, MI 49503 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 3 | 1 | 1 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 6 | 1 | 2 | 7 | 5 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.