Organization Active NPI

Kurt Hesse M.D.P.C.

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1174608707
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047612 Issued in MI
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

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Kurt Hesse, M.D.NPI 1154422269
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1741688MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061219000185 MI Part B Supplier - Clinic/Group Practice 0345249405 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI; Berkely, MI; Commerce Township, MI; Detroit, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.