Individual provider Active NPI

Kyle M Samyn, DO

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1104387976
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026210 Issued in MI
Practice address
28300 Orchard Lake Rd Ste 103
Farmington Hills, MI 48334-3704
Phone
(248) 287-7860
Fax
(248) 287-7861
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 5101026210 MI
Family Medicine Physician 207Q00000X 5101026210 MI Primary

Addresses

Primary practice location

28300 Orchard Lake Rd Ste 103
Farmington Hills, MI 48334-3704

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

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
I20240718003113 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Sports Medicine 7214268523 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
The Knee Pain Center PLLCGroup PAC ID 3375072754, 2 clinicians

Practice addresses (Care Compare)

28300 Orchard Lake Rd
Suite 103
Farmington Hills, MI 48334-3704
Phone (248) 287-7860

35455 Garfield Rd
Suite 100
Clinton Township, MI 48035-2500
Phone (586) 600-5633

49650 Cherry Hill Rd
Suite 120
Canton, MI 48187-4850
Phone (734) 398-7800

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026210MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Knee Pain Center PLLC CurrentSince Sep 1, 2025 Accepting new patients
Michigan Sports and Spine Center PC CurrentSince Mar 10, 2025 Accepting new patients
The Knee Pain Center PLLC CurrentSince Sep 1, 2025 Accepting new patients
Iha Health Services Corporation Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Feb 1, 2025 Accepting new patients
VMD Primary Providers Eastern Michigan, PC Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Iha Health Services Corporation Family Medicine Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

35455 Garfield Rd
Ste 100
Clinton Township, MI 48035
Phone (586) 600-5633

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

22024 Pontiac Trl
South Lyon, MI 48178
Phone (248) 348-8700

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

Interoperability endpoints

  • Direct secure messaging: ksamyn810834@direct.hfhs.org
  • Direct secure messaging: ksamyn42860@direct.trinity-health.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1104387976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28300 ORCHARD LAKE RD STE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343704",
            "telephone_number": "248-287-7860",
            "fax_number": "248-287-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMYN",
        "first_name": "KYLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "5101026210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.