Kensington Valley Heart, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KENSINGTON VALLEY HEART, PC

Practice address

1435 N Milford Rd Ste 201
Milford, MI 48381-1015

Phone

(248) 676-8889

Fax

(248) 685-8039

NPI assigned

Jun 11, 2018

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Karabajakian, DONPI 1578571501

Title

Owner/Provider

Phone

(248) 676-8889

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGFBBD
• Direct secure messaging: mark.karabajakian@kvh.eclinicaldirectplus.com

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Z Karabajakian, DO

  • Cardiovascular Disease Physician
  • Milford, MI
  • NPI 1578571501
  Medicare reassignment Care Compare group NPD Authorized official
• Katelyn Rose Bonvolanta, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Milford, MI
  • NPI 1831609460
  Medicare reassignment Care Compare group NPD
• Daniel Achill McBride, MD

  • Clinical Cardiac Electrophysiology Physician
  • Milford, MI
  • NPI 1164958591
  Medicare reassignment Care Compare group NPD
• Jasmine Singh, AGACNP-BC

  • Nurse Practitioner
  • Royal Oak, MI
  • NPI 1235642919
  Medicare reassignment Care Compare group NPD
• Kenneth Lim, D.O.

  • Urology Physician
  • Waterford, MI
  • NPI 1548339898
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1447743935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N MILFORD RD STE 201",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811015",
            "telephone_number": "248-676-8889",
            "fax_number": "248-685-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N MILFORD RD STE 201",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811015",
            "telephone_number": "248-676-8889",
            "fax_number": "248-685-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON VALLEY HEART, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "KARABAJAKIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "248-676-8889",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578571501",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.karabajakian@kvh.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1435 N Milford Rd Ste 201",
            "city": "Milford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483811015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Nelson PH.D., PLC
• Kelly Kay, OTR
• Christi Keaveny, LMT
• Karen Kehoe, IBCLC
• Chase A Kennedy-Galley, CPHT
• Jill Marie Kern
• Gary Richard Kerstein, D.O.
• Lauren Keyandwy, MA, LPC
• Ju Hyung Kim, ANP
• Jean Marie Kindermann, N.P.

• Cardiovascular Disease Physician in Milford, MI
• Providers in Milford, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.