Individual provider Active NPI

Jenna Teresa Kado, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Monroe, MI
National Provider Identifier
1417367756
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
4301105891 Issued in MI
Practice address
730 N Macomb St Ste 300
Monroe, MI 48162-2904
Phone
(734) 430-3151
Fax
(419) 479-2696
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 4301105891 MI Primary
Neurology Physician 2084N0400X 35.140446 OH
Neurology Physician 2084N0400X 4301105891 MI
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 35.140446 OH
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 0101280382 VA

Addresses

Primary practice location

730 N Macomb St Ste 300
Monroe, MI 48162-2904

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531
Phone (734) 430-3151

Other practice location 1

4201 Saint Antoine St
Uhc 9 C
Detroit, MI 48201-2153
Phone (313) 745-4832

Other practice location 2

2109 Hughes Dr
Toledo, OH 43606-3856
Phone (419) 291-7555

Other practice location 3

7500 Challis Rd
2nd floor
Brighton, MI 48116-9416
Phone (810) 263-4000

Other practice location 4

12200 Warwick Blvd Ste 290
Newport News, VA 23601-2344
Phone (757) 534-5454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkado205982@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180816003181 MI Practitioner - Neurology 4284991522 Reassigns benefits to 3 organizations
I20240102002572 VA Practitioner - Sleep Medicine 4284991522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

12200 Warwick Blvd
Suite 290
Newport News, VA 23601-2344
Phone (757) 534-5454

2510 S Telegraph Rd
Suite 248
Bloomfield Township, MI 48302-0241
Phone (248) 688-0088

5777 W Maple Rd
Suite 185
West Bloomfield, MI 48322-2268

718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 240-8835

Hospital & facility affiliations

  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105891MIMDNeurology Physician
35.140446OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Sleep MD Sleep Medicine CurrentSince Dec 1, 2024 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Riverside Physician Services Inc CurrentSince Dec 1, 2023 Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

2510 S Telegraph Rd
Ste 248
Bloomfld Hls, MI 48302
Phone (248) 688-0088

5777 W Maple Rd
Ste 18
West Bloomfield, MI 48322

5777 W Maple Rd
Ste 185
West Bloomfield, MI 48322
Phone (248) 688-0088

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

12200 Warwick Blvd
Ste 290
Newport News, VA 23601
Phone (757) 534-5454

3700 Battery Blvd
Ste 202
Williamsburg, VA 23185
Phone (757) 645-3460

Interoperability endpoints

  • Direct secure messaging: jkado1074533@direct.hfhs.org
  • Direct secure messaging: jkado205982@direct.promedica.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1417367756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "734-430-3151",
            "fax_number": "419-479-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST STE 300",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622904",
            "telephone_number": "734-430-3151",
            "fax_number": "419-479-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_2": "UHC 9 C",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-745-4832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2109 Hughes Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063856",
            "country_code": "US",
            "telephone_number": "419-291-7555",
            "fax_number": "419-479-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Challis Rd",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481169416",
            "country_code": "US",
            "telephone_number": "810-263-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADO",
        "first_name": "JENNA",
        "middle_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "4301105891",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.140446",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301105891",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "35.140446",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "VA",
            "license": "0101280382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkado205982@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.