Active NPI
Kenneth Hayes, M.D.
- Anesthesiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301504549
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 685-5000
- NPI assigned
- May 23, 2016
- Last updated
- Aug 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD471145 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT211095 | MI | |
| Anesthesiology Physician | 207L00000X | 4301504549 | MI | Primary |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
2319 Naudain St
Philadelphia, PA 19146-1119
Phone (616) 581-1909
Other practice location 1
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (616) 581-1909
Other practice location 2
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 58.12
- Improvement activities
- 40
- Cost
- 68.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.63 of 100
- Quality
- 23.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301504549 | MI | MD | Anesthesiology Physician |
| MD471145 | PA | MD | Anesthesiology Physician |
| MT211095 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| St Mary Mercy Hospital Crna | Anesthesiology | Current | Accepting new patients |
| Saint Mary's Health Services | Anesthesiology | Current | Accepting new patients |
| A4 of Ohio, LLC | Anesthesiology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Saint Mary's Health Services | Current | Accepting new patients | |
| Anesthesia Associates of Ann Arbor, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
350 E Devon Ave
Itasca, IL 60143
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740
3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
Interoperability endpoints
- khayes1118452@direct.trinity-health.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
Anesthesiology
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1255996567
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- San Diego, CA
- NPI 1023425972
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1346697174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 NAUDAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461119",
"telephone_number": "616-581-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-685-5000"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "616-581-1909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 McAuley Dr",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481971051",
"country_code": "US",
"telephone_number": "734-712-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD471145",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "MT211095",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301504549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.