Active NPI
Kurt Hesse M.D.P.C.
- Internal Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1174608707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301047612
- Legal business name
- KURT HESSE M.D.P.C.
- Practice address
- 3114 Millbury LN
Ann Arbor, MI 48105-2972 - Phone
- (248) 705-1887
- Fax
- (734) 369-6641
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt Hesse, M.D.
- Title
- Owner
- Phone
- (248) 705-1887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301047612 | MI | Primary |
Addresses
Primary practice location
3114 Millbury LN
Ann Arbor, MI 48105-2972
Mailing address
3114 Millbury LN
Ann Arbor, MI 48105-2972
Phone (248) 705-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1741688 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3451 Livernois
Troy, MI 48083
Phone (248) 619-2020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1154422269
-
- Internal Medicine Physician
- Royal Oak, MI
- NPI 1124314299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1174608707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 MILLBURY LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052972",
"telephone_number": "248-705-1887",
"fax_number": "734-369-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 MILLBURY LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052972",
"telephone_number": "248-705-1887",
"fax_number": "734-369-6641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURT HESSE M.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "HESSE",
"authorized_official_first_name": "KURT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-705-1887",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301047612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1741688",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.