NPIMap

Individual provider Active NPI

Kenneth R Steibel, M.D.

  • Family Medicine Physician
  • Fenton, MI
National Provider Identifier
1144398934
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301051250 Issued in MI
Practice address
445 N Fenway Dr
Fenton, MI 48430-2666
Phone
(810) 750-6060
Fax
(810) 750-6081
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301051250 MI Primary

Addresses

Primary practice location

445 N Fenway Dr
Fenton, MI 48430-2666

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007

Other identifiers 1

IdentifierTypeStateIssuer
2787144MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000276 MI Practitioner - Family Practice 9436053113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fenton Family Medicine PCGroup PAC ID 7618006677, 4 clinicians

Practice addresses (Care Compare)

425 N Fenway Dr
Suite B
Fenton, MI 48430-3810
Phone (810) 750-6060

445 N Fenway Dr
Fenton, MI 48430-2666
Phone (810) 750-6060

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Grand Blanc, MI, CCN 237073
  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • McLaren Flint Hospital, Flint, MI, CCN 230141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indira Alluru MD PC Current Accepting new patients
Fenton Family Medicine, P.C. Family Medicine CurrentSince Nov 13, 1991 Accepting new patients

Locations

445 N Fenway Dr
Fenton, MI 48430
Phone (810) 616-7246

425 N Fenway Dr
Ste B
Fenton, MI 48430
Phone (810) 750-6060

Interoperability endpoints

  • Direct secure messaging: kennethsteibel@pmi.allscriptsdirect.net
  • Direct secure messaging: ksteibel1152386@direct.hfhs.org

Organizations & group practices 3

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 6

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1144398934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N FENWAY DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302666",
            "telephone_number": "810-750-6060",
            "fax_number": "810-750-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIBEL",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2787144",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.