Active NPI
Keith Brian Naylor, M.D.
- Gastroenterology Physician
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 430111226
- Practice address
- 39901 Traditions Drive
Suite 210
Northville, MI 48168 - Phone
- (888) 229-7408
- NPI assigned
- Jan 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 430111226 | MI | |
| Gastroenterology Physician | 207RG0100X | 036120827 | IL | |
| Gastroenterology Physician | 207RG0100X | 430111226 | MI | Primary |
Addresses
Primary practice location
39901 Traditions Drive
Suite 210
Northville, MI 48168
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Gastroenterology
- Education
- University of Michigan Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
840 S Wood St MC
787 Uic Medicine
Chicago, IL 60612-4325
Phone (312) 413-8687
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430111226 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Internal Medicine | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Internal Medicine | Past | Accepting new patients |
| Board of Trustees of the University of Illinois | Internal Medicine | Past | Accepting new patients |
| Regents of the University of Michigan | Past | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
840 S Wood St
#787
Chicago, IL 60612
Phone (312) 413-8687
1309 S Halsted St
Chicago, IL 60607
Phone (312) 413-3000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
835 S Wolcott Ave
Rm W140
Chicago, IL 60612
7732 Solutions Ctr
Chicago, IL 60677
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Interoperability endpoints
- knaylor17762@uihealth.direct-ci.com
Organizations & group practices 9
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1609094739
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- Home Health Agency
- Ann Arbor, MI
- NPI 1063465607
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
Internal Medicine
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174700686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39901 TRADITIONS DRIVE",
"address_2": "SUITE 210",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "48168",
"telephone_number": "888-229-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "KEITH",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "430111226",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036120827",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "430111226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.