Active NPI
Kim Margolis, MD
- Internal Medicine Physician
- Warren, MI
National Provider Identifier
1124039037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301401878
- Practice address
- 11900 E 12 Mile Rd
Suite 200
Warren, MI 48093-3400 - Phone
- (586) 558-9033
- Fax
- (586) 573-4209
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301401878 | MI | Primary |
| Nephrology Physician | 207RN0300X | 4301401878 | MI |
Addresses
Primary practice location
11900 E 12 Mile Rd
Suite 200
Warren, MI 48093-3400
Mailing address
11900 E 12 Mile Rd
Suite 200
Warren, MI 48093-3400
Phone (586) 558-9033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhills Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
Organizations & group practices 1
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.
-
dba Riverhills Neuroscience
- Neurology Physician
- Cincinnati, OH
- NPI 1205943651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124039037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "WARREN",
"state": "MI",
"postal_code": "480933400",
"telephone_number": "586-558-9033",
"fax_number": "586-573-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "WARREN",
"state": "MI",
"postal_code": "480933400",
"telephone_number": "586-558-9033",
"fax_number": "586-573-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIS",
"first_name": "KIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301401878",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301401878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.