Individual provider Active NPI

Kyle Gerard Franckowiak

  • Obstetrics & Gynecology Physician
  • Clinton TWP, MI
National Provider Identifier
1174940720
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101020872 Issued in MI
Practice address
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Phone
(856) 531-9100
NPI assigned
Mar 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 5101020872 MI Primary

Addresses

Primary practice location

15855 19 Mile Rd
Clinton TWP, MI 48038-3504

Mailing address

15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Phone (856) 531-9100

Other practice location 1

7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 876-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfranckowiak@direct.mhc.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806002617 MI Practitioner - Obstetrics/Gynecology 8022366103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Women'S Healthcare Associates of Oakland PLLCGroup PAC ID 1254355878, 8 clinicians

Practice addresses (Care Compare)

1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 693-0543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020872MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Associates of Oakland PLLC CurrentSince Dec 18, 2023 Accepting new patients
Henry Ford Macomb Hospital Corporation PastSince Dec 18, 2023 Accepting new patients

Locations

12805 Escanaba Dr
Ste 1
Dewitt, MI 48820
Phone (517) 913-3930

1428 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-0543

Interoperability endpoints

  • Direct secure messaging: kyle.franckowiak.1@8250.direct.athenahealth.com
  • Direct secure messaging: kfranckowiak@direct.mhc.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1174940720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "856-531-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "856-531-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7985 S Mackinaw Trl",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018111",
            "country_code": "US",
            "telephone_number": "231-876-6100",
            "fax_number": "231-779-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCKOWIAK",
        "first_name": "KYLE",
        "middle_name": "GERARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101020872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfranckowiak@direct.mhc.net",
            "affiliation": "N",
            "address_1": "7985 S Mackinaw Trl Ste 201",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496018111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.