Individual provider Active NPI

Nossonal Kleinfeldt, MD

  • Ophthalmology Physician
  • Livonia, MI
National Provider Identifier
1376540369
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301072297 Issued in MI
Practice address
33400 6 Mile Rd
Livonia, MI 48152-3165
Phone
(734) 421-2020
Fax
(734) 421-2020
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301072297 MI Primary

Addresses

Primary practice location

33400 6 Mile Rd
Livonia, MI 48152-3165

Mailing address

30150 Telegraph Rd Ste 271
Bingham Farms, MI 48025-4521
Phone (248) 395-5175

Other identifiers 4

IdentifierTypeStateIssuer
382155439OtherMICOMMERCIAL INSURANCE
180H27019OtherMIBLUE CARE NETWORK HMO
104485008MedicaidMI
180H27019OtherMIBCBS OF MICHIGAN

Other names 1

  • Nate Kleinfeldt Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkleinfeldt@osm.intellechartdirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001017 MI Practitioner - Ophthalmology 1254302995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24241 Michigan Ave
Dearborn, MI 48124-1801
Phone (313) 561-7255

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as individual
Quality
99.82
Promoting interoperability
100
Improvement activities
40
Cost
76.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072297MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Ophthalmology & Oculoplastic Surgery Inc Ophthalmology Current Accepting new patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Envision Medical Group PLLC CurrentSince Jul 1, 2016 Accepting new patients
Envision Medical Group PLLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

30150 Telegraph Rd
Ste 271
Bingham Farms, MI 48025

24241 Michigan Ave
Spc Mi
Dearborn, MI 48124

24800 Michigan Ave
Dearborn, MI 48124
Phone (313) 561-7255

24241 Michigan Ave
Dearborn, MI 48124
Phone (313) 561-7255

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

33400 6 Mile Rd
Spc Mi
Livonia, MI 48152

33400 6 Mile Rd
Ste B
Livonia, MI 48152
Phone (734) 452-7111

301 W 13 Mile Rd
Madison Heights, MI 48071
Phone (248) 268-1079

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

29201 Telegraph Rd
Ste 101
Southfield, MI 48034
Phone (248) 350-1130

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1376540369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "248-395-5175",
            "fax_number": "248-395-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523165",
            "telephone_number": "734-421-2020",
            "fax_number": "734-421-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINFELDT",
        "first_name": "NOSSONAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301072297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "382155439",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK HMO",
            "identifier": "180H27019",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104485008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "180H27019",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkleinfeldt@osm.intellechartdirect.com",
            "affiliation": "N",
            "address_1": "33400 6 Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481523165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATE",
            "last_name": "KLEINFELDT",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.