Active NPI
Tiffany Lauren Kent, MD, PHD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 4301092933
- Practice address
- 4070 Lake Dr SE
Suite 205
Grand Rapids, MI 49546-8294 - Phone
- (616) 888-2948
- Fax
- (616) 888-2949
- NPI assigned
- Jul 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2012011148 | MO | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 036134962 | IL | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 4301092933 | MI | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 2012011148 | MO | |
| Ophthalmology Physician | 207W00000X | 4301092933 | MI |
Addresses
Primary practice location
4070 Lake Dr SE
Suite 205
Grand Rapids, MI 49546-8294
Mailing address
4070 Lake Dr SE
Suite 205
Grand Rapids, MI 49546-8294
Phone (616) 888-2948
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4070 Lake Dr SE
Suite 205
Grand Rapids, MI 49546-8294
Phone (616) 888-2948
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036134962 | IL | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
| 4301092933 | MI | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oculoplastic Associates of West Michigan, PLC | Ophthalmic Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Ophthalmic Plastic & Cosmetic Surgery, Inc. | Past | Accepting new patients |
Locations
4070 Lake Dr SE
Ste 205
Grand Rapids, MI 49546
Phone (616) 888-2948
Organizations & group practices 2
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Grand Rapids, MI
- NPI 1174974356
-
- Specialist
- Des Peres, MO
- NPI 1942497805
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Zeeland, MI
- NPI 1275536344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1164686812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4070 LAKE DR SE",
"address_2": "SUITE 205",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468294",
"telephone_number": "616-888-2948",
"fax_number": "616-888-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4070 LAKE DR SE",
"address_2": "SUITE 205",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468294",
"telephone_number": "616-888-2948",
"fax_number": "616-888-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "TIFFANY",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2012011148",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036134962",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "MI",
"license": "4301092933",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "MO",
"license": "2012011148",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301092933",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.