Active NPI
Jeffrey A Kepes, MD
- Allergy & Immunology Physician
- Owosso, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301501309
- Practice address
- 317 S Elm St Ste 205a
Owosso, MI 48867-2636 - Phone
- (989) 729-4317
- Fax
- (989) 725-9979
- NPI assigned
- Apr 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 4301501309 | MI | |
| Allergy & Immunology Physician | 207K00000X | 4301501309 | MI | Primary |
Addresses
Primary practice location
317 S Elm St Ste 205a
Owosso, MI 48867-2636
Mailing address
317 S Elm St Ste 205a
Owosso, MI 48867-2636
Phone (989) 729-4317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316334253 | 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 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 S Elm St
205A Memorial Healthcare Allergy and Immunolo
Owosso, MI 48867-2649
Phone (989) 729-4317
3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301501309 | MI | MD | Pediatric Allergy/Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| University Pediatricians | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
3950 Beaubien St
Detroit, MI 48201
Phone (313) 745-5437
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
519 S Monroe Ave
Green Bay, WI 54301
Phone (920) 435-6601
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Organizations & group practices 12
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.
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1316008006
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
dba Bellin Health
- Family Medicine Physician
- Oconto, WI
- NPI 1114579836
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1316334253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 S ELM ST STE 205A",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672636",
"telephone_number": "989-729-4317",
"fax_number": "989-725-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S ELM ST STE 205A",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672636",
"telephone_number": "989-729-4317",
"fax_number": "989-725-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPES",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "MI",
"license": "4301501309",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301501309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316334253",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.