Active NPI
Xandrea L Kirtley, MD
- Internal Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1326026923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065644
- Practice address
- 1701 South Blvd E
Ste 250
Rochester Hills, MI 48307 - Phone
- (248) 293-1002
- Fax
- (248) 293-1272
- NPI assigned
- Jan 4, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301065644 | MI | Primary |
Addresses
Primary practice location
1701 South Blvd E
Ste 250
Rochester Hills, MI 48307
Mailing address
1701 South Blvd E
Ste 250
Rochester Hills, MI 48307
Phone (248) 293-1002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110F374450 | Other | MI | BCBS |
| P31222F | Other | MI | BCN |
| 4097900 | Medicaid | MI |
Other names 1
- Xandrea Oxender
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
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
1701 S Blvd E
Rochester Hills, MI 48307-6116
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025
Hospital & facility affiliations
- Residential Home Health
- Beaumont Home Health
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
- Ascension Providence Rochester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065644 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Oakland Adult Medicine PC | Internal Medicine | Current | Accepting new patients |
Locations
1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000
Interoperability endpoints
- xandreakirtley@pmg.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1326487901
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1669576120
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1326026923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "STE 250",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-293-1002",
"fax_number": "248-293-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "STE 250",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-293-1002",
"fax_number": "248-293-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTLEY",
"first_name": "XANDREA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110F374450",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P31222F",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4097900",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "XANDREA",
"last_name": "OXENDER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.