Individual provider Active NPI

Raphael Joseph Kiel, MD

  • Infectious Disease Physician
  • Southfield, MI
National Provider Identifier
1063482834
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301062244 Issued in MI
Practice address
22301 Foster Winter Drive
Second Floor
Southfield, MI 48075
Phone
(248) 552-0620
Fax
(248) 557-3506
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301062244 MI Primary

Addresses

Primary practice location

22301 Foster Winter Drive
Second Floor
Southfield, MI 48075

Mailing address

22301 Foster Winter Drive
Second Floor
Southfield, MI 48075
Phone (248) 552-0620

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
I20040615000091 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 4789668187 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jun 1, 2011 Accepting new patients
Newland Medical Associates, P.C. Infectious Disease CurrentSince Jan 1, 2025 Accepting new patients
Ascension St John Hospital Infectious Disease CurrentSince Jun 1, 2011 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients

Locations

31500 Telegraph Rd
Ste 010
Bingham Farms, MI 48025
Phone (248) 594-3201

31500 Telegraph Rd
Ste 225
Bingham Farms, MI 48025
Phone (248) 381-4600

22301 Foster Winter Dr
Southfield, MI 48075
Phone (248) 849-3541

22301 Foster Winter Dr
Ste 200
Southfield, MI 48075
Phone (248) 424-3186

22301 Foster Winter Dr
Fl 2ND
Southfield, MI 48075

Interoperability endpoints

  • Direct secure messaging: rkiel1134653@direct.hfhs.org

Organizations & group practices 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1063482834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DRIVE",
            "address_2": "SECOND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-0620",
            "fax_number": "248-557-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DRIVE",
            "address_2": "SECOND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-0620",
            "fax_number": "248-557-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "RAPHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301062244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.