Individual provider Active NPI

John David Kilmer, D.O.

  • Family Medicine Physician
  • Lake Orion, MI
National Provider Identifier
1396184297
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020485 Issued in MI
Practice address
1261 S Lapeer Rd Ste 202
Lake Orion, MI 48360-1419
Phone
(248) 690-9181
Fax
(248) 690-9675
NPI assigned
Jun 24, 2013
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020485 MI Primary

Addresses

Primary practice location

1261 S Lapeer Rd Ste 202
Lake Orion, MI 48360-1419

Mailing address

1261 S Lapeer Rd Ste 202
Lake Orion, MI 48360-1419
Phone (248) 690-9181

Other practice location 1

844 S Main St
Lapeer, MI 48446-3027
Phone (810) 284-1034 ext. 41034

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
I20150311001688 MI Practitioner - Family Practice 6103069554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neighborhood Primary Care PLLCGroup PAC ID 8628400678, 2 clinicians
Henry Ford Cornerstone Medical GroupGroup PAC ID 7517162761, 65 clinicians

Practice addresses (Care Compare)

1261 S Lapeer Rd
Suite 202
Lake Orion, MI 48360-1419
Phone (248) 690-9181

4260 Van Dyke Rd
Suite 102
Almont, MI 48003-8546
Phone (810) 798-3994

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020485MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Primary Care PLLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Jan 20, 2015 Accepting new patients
Henry Ford Cornerstone Medical Group Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
First Choice Urgent Care PC PastSince Jan 20, 2015 Accepting new patients

Locations

4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

1261 S Lapeer Rd
Ste 202
Lake Orion, MI 48360
Phone (248) 690-9181

844 S Main St
Lapeer, MI 48446
Phone (810) 284-1034

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: jkilmer1134682@direct.hfhs.org
  • Direct secure messaging: john.kilmer.1@8209.direct.athenahealth.com

Organizations & group practices 4

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 7

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1396184297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S LAPEER RD STE 202",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601419",
            "telephone_number": "248-690-9181",
            "fax_number": "248-690-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S LAPEER RD STE 202",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601419",
            "telephone_number": "248-690-9181",
            "fax_number": "248-690-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463027",
            "country_code": "US",
            "telephone_number": "810-284-1034 x41034",
            "fax_number": "248-690-9675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILMER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.