NPIMap

Individual provider Active NPI

Steven Joe Kin, D.O.

  • Otolaryngic Allergy Physician
  • West Bloomfield, MI
National Provider Identifier
1427037282
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
SK010029 Issued in MI
Practice address
2300 Haggerty Rd Ste 2130
West Bloomfield, MI 48323-2191
Phone
(248) 668-1104
Fax
(248) 686-1096
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X SK010029 MI Primary
Facial Plastic Surgery Physician 207YS0123X SK010029 MI

Addresses

Primary practice location

2300 Haggerty Rd Ste 2130
West Bloomfield, MI 48323-2191

Mailing address

2300 Haggerty Road
Ste 2130
West Bloomfield, MI 48323-2191
Phone (248) 668-1104

Other practice location 1

2300 Haggerty Road
Suite 2130
West Bloomfield, MI 48323-2191
Phone (248) 668-1104

Other identifiers 3

IdentifierTypeStateIssuer
38-3440894OtherMIFEDERAL TAX ID FOR CORP.
4100372MedicaidMI
4100363MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000742 MI Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 1850325374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 2130
West Bloomfield, MI 48323-2191

Hospital & facility affiliations

  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as individual
Quality
67.88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SK010029MIMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Rehabilitation Associates PLLC CurrentSince Sep 1, 2012 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
West Bloomfield Surgery Center, LLC PastSince Sep 11, 2012 Accepting new patients

Locations

2300 Haggerty Rd
Ste 2130
West Bloomfield, MI 48323
Phone (248) 669-2040

Interoperability endpoints

  • Direct secure messaging: skin1134704@direct.hfhs.org
  • Direct secure messaging: skin@direct.dmc.org
  • Direct secure messaging: steven.kin.1@8583.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 and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1427037282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY ROAD",
            "address_2": "STE 2130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232191",
            "telephone_number": "248-668-1104",
            "fax_number": "248-668-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232191",
            "telephone_number": "248-668-1104",
            "fax_number": "248-686-1096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Haggerty Road",
            "address_2": "Suite 2130",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483232191",
            "country_code": "US",
            "telephone_number": "248-668-1104",
            "fax_number": "248-668-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIN",
        "first_name": "STEVEN",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MI",
            "license": "SK010029",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "SK010029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID FOR CORP.",
            "identifier": "38-3440894",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100372",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100363",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.