Active NPI
Kyle G Smith, D.O.
- Psychiatry Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5101009975
- Practice address
- 888 W Big Beaver Rd
1450
Troy, MI 48084-4736 - Phone
- (586) 754-3060
- Fax
- (586) 627-0027
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101009975 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd
1450
Troy, MI 48084-4736
Mailing address
888 West Big Beaver Rd #1450
Troy, MI 48084
Phone (248) 244-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4738004 11 | Medicaid | MI |
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29200 Northwestern Hwy 110
Easterseals Morc Southfield
Southfield, MI 48034-1055
Phone (248) 276-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.79 of 100
- Quality
- 90.17
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 86.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101009975 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easterseals Morc Health Care, Inc. | Psychiatry | Current | Accepting new patients |
| Christian Family Services of Lapeer County | Past | Accepting new patients | |
| Spectrum Community Services | Past | Accepting new patients | |
| Spectrum Community Services | Past | Accepting new patients | |
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients | |
| Iamerica Wellness Center | Psychiatry | Past | Accepting new patients |
Locations
2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400
15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735
29200 Northwestern Hwy
Ste 110
Southfield, MI 48034
Phone (248) 483-7804
22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Auburn Hills, MI
- NPI 1376526616
-
- Mental Health Counselor
- Lapeer, MI
- NPI 1003878588
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Canton, MI
- NPI 1801765946
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Westland, MI
- NPI 1164577391
-
- Home Health Agency
- Westland, MI
- NPI 1457117962
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1184663726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 WEST BIG BEAVER RD #1450",
"city": "TROY",
"state": "MI",
"postal_code": "48084",
"telephone_number": "248-244-8644",
"fax_number": "248-244-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD",
"address_2": "1450",
"city": "TROY",
"state": "MI",
"postal_code": "480844736",
"telephone_number": "586-754-3060",
"fax_number": "586-627-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KYLE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101009975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4738004 11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.