Individual provider Active NPI

Karen L. Summe, MD

  • Surgery Physician
  • Saint Clair Shores, MI
National Provider Identifier
1336342278
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301115468 Issued in MI
Practice address
29000 Little Mack Ave Ste B
Saint Clair Shores, MI 48081
Phone
(586) 774-8811
Fax
(586) 774-6773
NPI assigned
Jun 7, 2007
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301115468 MI Primary

Addresses

Primary practice location

29000 Little Mack Ave Ste B
Saint Clair Shores, MI 48081

Mailing address

29000 Little Mack Ave Ste B
Saint Clair Shores, MI 48081-3018
Phone (586) 774-8811

Other practice location 1

25 Office Park Dr
Hamilton, OH 45013-1496
Phone (513) 844-1000

Other identifiers 1

IdentifierTypeStateIssuer
0052851MedicaidOH

Other names 1

  • Karen L Huezo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180821003363 MI Practitioner - General Surgery 8325211055 Reassigns benefits to 1 organization
I20201110001839 IN Practitioner - General Surgery 8325211055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

731 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 222-2229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301115468MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Nov 1, 2019 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Margaret Mary Community Hospital, Inc Surgery Current Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 4, 2021 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 4, 2021 Accepting new patients
Henry Ford Health St. John Hospital Surgery CurrentSince Nov 1, 2019 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Decatur County Memorial Hospital Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

731 N Lincoln St
Greensburg, IN 47240
Phone (812) 222-2229

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

Interoperability endpoints

  • Direct secure messaging: karen.summe@mmhealth.cernerdirect.com
  • Direct secure messaging: ksumme1154886@direct.hfhs.org

Organizations & group practices 9

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 2

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1336342278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE STE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018",
            "telephone_number": "586-774-8811",
            "fax_number": "586-774-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE STE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-774-8811",
            "fax_number": "586-774-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450131496",
            "country_code": "US",
            "telephone_number": "513-844-1000",
            "fax_number": "513-896-3727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMME",
        "first_name": "KAREN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301115468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "HUEZO",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.