Individual provider Active NPI

Kathryn Pitone-Lipkin, DO

  • Cardiovascular Disease Physician
  • Commerce TWP, MI
National Provider Identifier
1245217264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
KP012470 Issued in MI
Practice address
8391 Commerce Rd Ste 110B
Commerce TWP, MI 48382-4489
Phone
(248) 716-3180
Fax
(947) 800-7270
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X KP012470 MI Primary

Addresses

Primary practice location

8391 Commerce Rd Ste 110B
Commerce TWP, MI 48382-4489

Mailing address

42557 Woodward Ave
Suite 130
Bloomfield Hills, MI 48304-5206
Phone (248) 322-3088

Other identifiers 3

IdentifierTypeStateIssuer
MI4989370OtherMIMEDICARE GROUP PTAN ID
4893235MedicaidMI
5472348OtherMIBCBS PIN

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
I20060629000293 MI Practitioner - Cardiovascular Disease (Cardiology) 7315959798 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12470MIMDDentist
KP012470MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Cardiovascular Disease CurrentSince Apr 1, 2014 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 1, 2014 Accepting new patients
Cardiac and Vascular Association PC Cardiovascular Disease Past Accepting new patients
VHS Physicians of Michigan PastSince Jun 8, 2019 Accepting new patients

Locations

42557 Woodward Ave
Ste 100
Bloomfield Hills, MI 48304
Phone (248) 333-1172

42557 Woodward Ave
Ste 130
Bloomfield Hills, MI 48304
Phone (248) 322-3088

42557 Woodward Ave
Bloomfld Hls, MI 48304
Phone (248) 963-9522

5701 Bow Pointe Dr
Ste 205
Clarkston, MI 48346
Phone (248) 625-5550

5701 Bow Pointe Dr
Ste 210
Clarkston, MI 48346
Phone (248) 384-8201

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 William Carls Dr
Ste 100
Commerce Twp, MI 48382
Phone (248) 937-4764

8391 Commerce Rd
Ste 110B
Commerce Twp, MI 48382
Phone (248) 716-3180

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Organizations & group practices 4

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245217264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE",
            "address_2": "SUITE 130",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-322-3088",
            "fax_number": "248-322-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD STE 110B",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-716-3180",
            "fax_number": "947-800-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITONE-LIPKIN",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "KP012470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN ID",
            "identifier": "MI4989370",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4893235",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5472348",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

Verify at the official NPI Registry.