Joseph Graydon Kohne, M.D.
Individual provider Active NPI Pediatrics Physician · Ann Arbor, MI
NPI 1154764629 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1154764629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301109323 (MI)
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Apr 15, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospitals Medical Group Inc
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715001867 | MI | Practitioner - Critical Care (Intensivists) |
5597090456 | Reassigns benefits to 2 organizations |
| I20250725002838 | OH | Practitioner - Pediatric Medicine |
5597090456 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Pediatrics | Current | Accepting new patients |
| Regents of the University of Michigan | Pediatrics | Current |
Accepting new patients |
| Regents of the University of Michigan | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Pediatrics | Current |
Accepting new patients |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Pediatrics | Current |
Accepting new patients |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 4301109323 | MI | |
| Pediatrics Physician | 208000000X | 4301109323 | MI | Yes |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other providers in Ann Arbor, MI
- Raghuram Paramahamsa Koganti
- Isabella Kogon
- Priya Kohli
- Diane Lynn Kohmescher
- Jody Kohn
- Nicole Bair Kohnen
- David Joseph Kohns
- Sarah Kohnstamm
- Christopher Koilor
- Erika Kokkinos
All providers in Ann Arbor, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.