Active NPI
Kristin Alexis Kops, DO
- Family Medicine Physician
- Hazel Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151013672
- Practice address
- 1142 E 9 Mile Rd
Hazel Park, MI 48030-1901 - Phone
- (248) 817-4742
- NPI assigned
- May 27, 2019
- 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 | 5151013672 | MI | Primary |
Addresses
Primary practice location
1142 E 9 Mile Rd
Hazel Park, MI 48030-1901
Mailing address
PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730
Other practice location 1
21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1566
Phone (947) 519-8100
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220627002494 | MI | Practitioner - Family Practice | 0446583421 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osh Mi Physicians Group, PC
Practice addresses (Care Compare)
1142 E 9 Mile Rd
Hazel Park Clinic
Hazel Park, MI 48030-1901
Phone (248) 817-4742
3525 Saginaw Rd
Burton, MI 48529
Phone (810) 222-3040
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Henry Ford Health Hospital
- Henry Ford Health St John Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013672 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Family Medicine | Current | Accepting new patients |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family Medicine | Current | Accepting new patients |
| Osh-Mi Physicians Group PC | Family Medicine | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033
1142 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 414-5770
18325 E 10 Mile Rd
Ste 300
Roseville, MI 48066
Phone (586) 447-4000
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
21400 E 11 Mile Rd
St Clr Shores, MI 48081
Phone (586) 498-4400
44250 Dequindre Rd
Sterling Hts, MI 48314
Phone (248) 964-0400
Interoperability endpoints
- kkops1052383@direct.hfhs.org
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
Family Medicine, MI
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1720635790
-
- Podiatrist
- Westland, MI
- NPI 1013157361
Hospital & facility affiliations 5
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": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1376100206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746723",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746723",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301901",
"telephone_number": "248-817-4742"
}
],
"practiceLocations": [
{
"address_1": "21400 E 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Saint Clair Shores",
"state": "MI",
"postal_code": "480811566",
"country_code": "US",
"telephone_number": "947-519-8100",
"fax_number": "586-498-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPS",
"first_name": "KRISTIN",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-27",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151013672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.