Active NPI
Joseph Allen Kingsbury, D.O.
- Obstetrics & Gynecology Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101007780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1652530285 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 2760703 | Other | MI | MOLINA HEATLHCARE |
| CIGNA | Other | MI | CIGNA |
| 1003847 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 382626196 | Other | MI | TRICARE HEALTHNET |
| 160B511630 | Other | MI | BLUE CARE NETWORK |
| 382626196 | Other | MI | PPOM |
| 5253028 | Other | MI | TRAVELERS |
| C2896 | Other | MI | MCARE |
| JK007780 | Other | MI | BLUE CARE NETWORK |
| E26094 | Other | MI | HEALH ALLIANCE PLAN |
| 0230285 | Other | MI | HEALTHPLUS OF MI |
| 4073348 | Other | MA | AETNA |
| 2760703 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesys Practice Partners, Inc | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Henry Ford Health Genesys Hospital | Current | Accepting new patients | |
| Henry Ford Health Genesys Hospital | Current | Accepting new patients | |
| Ascension Genesys Hospital | Current | 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
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
- 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.
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- NPI 1528283033
-
- Skilled Nursing Facility
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- NPI 1093125312
-
- Family Medicine Physician
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- NPI 1194774752
-
- Psychiatry Physician
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- NPI 1336842160
-
- Family Medicine Physician
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- NPI 1740219526
-
- Physician Assistant
- Grand Blanc, MI
- NPI 1114060837
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.