Active NPI
Kirti Jain, MD
- Family Medicine Physician
- Allen Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301060400
- Practice address
- 15101 Southfield Rd Ste 102
Allen Park, MI 48101-2664 - Phone
- (313) 294-9410
- Fax
- (313) 294-9416
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301060400 | MI | Primary |
Addresses
Primary practice location
15101 Southfield Rd Ste 102
Allen Park, MI 48101-2664
Mailing address
4927 W Pond Cir
West Bloomfield, MI 48323-2279
Phone (248) 935-9500
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
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15101 Southfield Rd
Suite 102
Allen Park, MI 48101-2664
Phone (313) 294-9410
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060400 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Family Physicians PC | Family Medicine | Current | Accepting new patients |
Locations
15101 Southfield Rd
Ste 102
Allen Park, MI 48101
Phone (313) 294-9410
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
25880 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-9410
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHDBCA/Endpoint/JHDBCA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lincoln Park, MI
- NPI 1508144601
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
dba Internal Medicine Associates Farmington Hills
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1538103395
Hospital
-
dba Botsford Thoracic Surgery Clinic
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1912335373
Hospital
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1316926165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4927 W POND CIR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232279",
"telephone_number": "248-935-9500",
"fax_number": "313-294-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15101 SOUTHFIELD RD STE 102",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012664",
"telephone_number": "313-294-9410",
"fax_number": "313-294-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "KIRTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301060400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.