Akiyoshi Kido, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301084601 Issued in MI

Practice address

715 S Health Pkwy
Medical Office Building 3
Three Rivers, MI 49093-8352

Phone

(269) 273-8471

Fax

(269) 273-9680

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Three Rivers Area Hospital Hospice

  • Rural Health Clinic/Center
  • White Pigeon, MI
  • NPI 1255316774
  NPD (past)
• Three Rivers Health Authority

  • Rural Health Clinic/Center
  • Three Rivers, MI
  • NPI 1114902756
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1053394528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-273-9789",
            "fax_number": "269-273-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S HEALTH PKWY",
            "address_2": "MEDICAL OFFICE BUILDING 3",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-273-8471",
            "fax_number": "269-273-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDO",
        "first_name": "AKIYOSHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301084601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4670697-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP-SURGICAL SERVICES",
            "identifier": "700G5600080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700G560080",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784044 10",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5209995 10",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5209977 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Keeler, LPC
• Hillary Elizabeth Keene
• Janaye Nichole Keifer, NP
• Sharon Kelly, MA, LLP, CAAC
• Jayden Ketcham
• Heather Anne Kimble
• Kirin King, LLMSW
• Faith Kirby
• Sheroyl Marie Kirby, RPH
• April Klavinger, NP

• Surgery Physician in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.