Individual provider Active NPI

Joseph Allen Kingsbury, D.O.

  • Obstetrics & Gynecology Physician
  • Grand Blanc, MI
National Provider Identifier
1063458149
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101007780 Issued in MI
Practice address
1620 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone
(810) 606-7190
Fax
(810) 606-7186
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101007780 MI
Obstetrics & Gynecology Physician 207V00000X 5101007780 MI Primary

Addresses

Primary practice location

1620 Genesys Pkwy
Grand Blanc, MI 48439-8069

Mailing address

1620 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone (810) 606-7190

Other identifiers 14

IdentifierTypeStateIssuer
1652530285OtherMIBLUE CROSS BLUE SHIELD MI
2760703OtherMIMOLINA HEATLHCARE
CIGNAOtherMICIGNA
1003847OtherMIMCLAREN HEALTH ADVANTAGE
382626196OtherMITRICARE HEALTHNET
160B511630OtherMIBLUE CARE NETWORK
382626196OtherMIPPOM
5253028OtherMITRAVELERS
C2896OtherMIMCARE
JK007780OtherMIBLUE CARE NETWORK
E26094OtherMIHEALH ALLIANCE PLAN
0230285OtherMIHEALTHPLUS OF MI
4073348OtherMAAETNA
2760703MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address josephkingsbury@migra.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000461 MI Practitioner - Obstetrics/GynecologyPractitioner - General Surgery 5597718817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Genesys HospitalGroup PAC ID 2062323033, 85 clinicians
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Practice Partners, Inc CurrentSince Apr 28, 2019 Accepting new patients
Genesys Practice Partners Inc CurrentSince Apr 28, 2019 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Dec 4, 2009 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Ascension Genesys Hospital CurrentSince Dec 4, 2009 Accepting new patients
Genesys Practice Partners Inc Past Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

3021 S Dort Hwy
Flint, MI 48507
Phone (810) 844-9160

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

5445 Ali Dr
Dept 300
Grand Blanc, MI 48439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: jkingsbury1134761@direct.hfhs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1063458149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398069",
            "telephone_number": "810-606-7190",
            "fax_number": "810-606-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398069",
            "telephone_number": "810-606-7190",
            "fax_number": "810-606-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBURY",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101007780",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101007780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "1652530285",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEATLHCARE",
            "identifier": "2760703",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "CIGNA",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1003847",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HEALTHNET",
            "identifier": "382626196",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "160B511630",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "382626196",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS",
            "identifier": "5253028",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C2896",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "JK007780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALH ALLIANCE PLAN",
            "identifier": "E26094",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MI",
            "identifier": "0230285",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4073348",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2760703",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephkingsbury@migra.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1620 Genesys Pkwy",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484398069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.