NPIMap

Individual provider Active NPI

James L Kehoe IV, D.O.

  • Orthopaedic Surgery Physician
  • Clinton TWP, MI
National Provider Identifier
1326095241
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
JK012581 Issued in MI
Practice address
21550 Harrington St
Suite a
Clinton TWP, MI 48036-2362
Phone
(586) 627-1100
Fax
(586) 627-1120
NPI assigned
May 27, 2006
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X JK012581 MI Primary

Addresses

Primary practice location

21550 Harrington St
Suite a
Clinton TWP, MI 48036-2362

Mailing address

21510 Harrington St.
Suite 101
Clinton TWP, MI 48036-2362
Phone (586) 627-1100

Other identifiers 1

IdentifierTypeStateIssuer
383423447OtherMITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100423000151 MI Practitioner - Orthopedic Surgery 0244367670 Reassigns benefits to 2 organizations
I20250428004323 TX Practitioner - Orthopedic Surgery 0244367670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Center for Orthopedic SurgeryGroup PAC ID 2062315971, 2 clinicians
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

21510 Harrington St
Suite 101
Clinton Township, MI 48036-2378
Phone (586) 627-1100

21550 Harrington
Suite 101
Clinton Township, MI 48036-2378

36500 S Gratiot Ave
102 Multispecialties
Clinton Township, MI 48035-1772
Phone (586) 790-9003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JK012581MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Orthopaedic Surgery Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Apr 21, 2025 Accepting new patients
McLaren Macomb Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1326095241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21510 HARRINGTON ST.",
            "address_2": "SUITE 101",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362362",
            "telephone_number": "586-627-1100",
            "fax_number": "586-627-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 HARRINGTON ST",
            "address_2": "SUITE A",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362362",
            "telephone_number": "586-627-1100",
            "fax_number": "586-627-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "JK012581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383423447",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.