NPIMap

Individual provider Active NPI

Terry Kinzel, MD

  • Internal Medicine Physician
  • Hancock, MI
National Provider Identifier
1023048477
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301036690 Issued in MI
Practice address
500 Campus Drive
Hancock, MI 49930-1569
Phone
(906) 483-1300
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Michigan Medical School, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Keweenaw 116 clinicians
Portage Physician Practices Inc 56 clinicians

Practice addresses (Care Compare)

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

500 Campus Dr
Hancock, MI 49930-1452

Hospital & facility affiliations

  • Aspirus at Home Hospice, Hancock, MI, CCN 231560
  • Up Health System Portage Hospital, Hancock, MI, CCN 230108
  • Canal View - Houghton County Nursing home, Hancock, MI, CCN 235031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000653 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9931245230 Reassigns benefits to 1 organization

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canal View Houghton CountyHancock, MI, CCN 235031 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 24, 2025
Jan 24, 2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301036690MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Physician Practices Inc Internal Medicine CurrentSince Dec 11, 2013 Accepting new patients
Portage Physician Practices Inc CurrentSince Dec 11, 2013 Accepting new patients
Copper Country Community Mental Health Services Past Accepting new patients
Houghton County Medical Care Facility Past Accepting new patients
Portage Hospital LLC Past Accepting new patients

Locations

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

600 Macinnes Dr
Houghton, MI 49931
Phone (906) 483-1818

Interoperability endpoints

  • Direct secure messaging: terry.kinzel.1@8233.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301036690 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Campus Drive
Hancock, MI 49930-1569

Mailing address

500 Campus Drive
Hancock, MI 49930-1569
Phone (906) 483-1300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1540474MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2011.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1023048477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DRIVE",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "906-483-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DRIVE",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "906-483-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZEL",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301036690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1540474",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

Verify at the official NPI Registry.