Organization Active NPI

Mi Pacs 2 PC

  • Hospitalist Physician
  • Northville, MI
National Provider Identifier
1205418357
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MI PACS 2 PC
Practice address
520 W Main St
Northville, MI 48167-1529
Phone
(248) 349-4290
NPI assigned
Apr 27, 2021
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Kathleen Kline
Title
Manager
Phone
(954) 835-2861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

520 W Main St
Northville, MI 48167-1529

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Phone (865) 693-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518002473 MI Part B Supplier - Clinic/Group Practice 2264831577 Receives reassigned benefits from 70 practitioners

National Provider Directory

National Provider Directory

Locations

3265 122nd Ave
Allegan, MI 49010
Phone (269) 673-0285

11289 Commerce Dr
Allendale, MI 49401
Phone (616) 892-1200

335 Huronview Blvd
Ann Arbor, MI 48103
Phone (734) 887-8700

25911 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 471-9507

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

11276 1st Ave NW
Grand Rapids, MI 49534
Phone (206) 673-8329

141 Port Sheldon St
#151
Grandville, MI 49418
Phone (616) 457-6010

1850 Vernier Rd
Grosse Pointe Woods, MI 48236
Phone (313) 642-2000

21260 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 343-0600

9400 Conant St
#A
Hamtramck, MI 48212
Phone (313) 874-4500

11530 Fulton St E
Lowell, MI 49331
Phone (616) 987-9115

9100 Buchanan Rd
Mecosta, MI 49332
Phone (231) 972-6600

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

695 Mitzi St
North Muskegon, MI 49445
Phone (231) 744-0520

16100 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 420-4000

650 Woodland Dr
Saline, MI 48176
Phone (734) 429-7600

7700 McClellan St
Utica, MI 48317
Phone (586) 739-7700

90 Jean St
Yale, MI 48097
Phone (810) 387-3226

Practitioners & affiliated clinicians

Practitioners 149

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1205418357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671529",
            "telephone_number": "248-349-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI PACS 2 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-835-2861"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "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 Apr 15, 2026; 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.