Individual provider Active NPI

Kyle G Smith, D.O.

  • Psychiatry Physician
  • Troy, MI
National Provider Identifier
1184663726
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101009975 Issued in MI
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

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4738004 11MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040228000530 MI Practitioner - PsychiatryPractitioner - Internal Medicine 9234026840
I20241107001340 MI Practitioner - Neuropsychiatry 9234026840 Reassigns benefits to 1 organization

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
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
5101009975MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. Psychiatry CurrentSince Oct 1, 2024 Accepting new patients
Christian Family Services of Lapeer County Past Accepting new patients
Spectrum Community Services PastSince Jul 1, 2015 Accepting new patients
Spectrum Community Services PastSince Feb 25, 2024 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients
Iamerica Wellness Center Psychiatry PastSince Nov 9, 2025 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.

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

Verify at the official NPI Registry.