Individual provider Active NPI

Vladimir Klemptner, MD

  • Internal Medicine Physician
  • Ypsilanti, MI
National Provider Identifier
1396739975
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301040168 Issued in MI
Practice address
1159 E Michigan Ave
Suite B
Ypsilanti, MI 48198-5807
Phone
(734) 483-1988
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301040168 MI Primary

Addresses

Primary practice location

1159 E Michigan Ave
Suite B
Ypsilanti, MI 48198-5807

Mailing address

1159 E Michigan Ave Ste B
Ypsilanti, MI 48198-5807
Phone (734) 483-1988

Other identifiers 1

IdentifierTypeStateIssuer
101432771MedicaidMI

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
I20070426000226 MI Practitioner - Internal Medicine 9537184809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24777 Greenfield Rd
Southfield, MI 48075-3065
Phone (248) 559-1950

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VK Internal Medicine, PC Internal Medicine CurrentSince Jan 30, 2018 Accepting new patients
Henry Ford Health System Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

24777 Greenfield Rd
Southfield, MI 48075
Phone (248) 557-1818

Interoperability endpoints

  • Direct secure messaging: vklemptner61830@direct.hfhs.org

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 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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1396739975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE STE B",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-483-1988",
            "fax_number": "734-483-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE",
            "address_2": "SUITE B",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-483-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMPTNER",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301040168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101432771",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.