Kenisha Jean Evans, MD
Individual provider Active NPI Internal Medicine Physician · Southfield, MI
NPI 1447770722 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1447770722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301502815 (MI)
- Practice address
- 17260 W 10 Mile Rd
Southfield, MI 48075-2949 - Phone
- (248) 809-6553
- Fax
- (248) 809-6583
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Theoria Medical
Practice addresses (Care Compare)
12200 Broadbent Rd
Lansing, MI 48917-9706
Phone (248) 660-1220
17260 W 10 Mile Rd
Southfield, MI 48075-2949
Phone (248) 809-6553
Hospital & facility affiliations
- Hospice of Southeastern Michigan, Inc
- Elara Caring
- West Bloomfield Health and Rehabilitation Center
- Regency at Lansing West
- Notting Hill of West Bloomfield
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Quality Care Hospice |
Hospice | Contracted Managing Employee | Apr 8, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124001781 | MI | Practitioner - Internal Medicine | 1951671965 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301502815 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest H PLLC | Single Specialty | Current |
Accepting new patients |
| Complexcare Medical Group Midwest M PLLC | Single Specialty | Current |
Accepting new patients |
| Total Health Care Management | Single Specialty | Current |
Accepting new patients |
| Theoria Medical | Single Specialty | Current |
Accepting new patients |
| LTC Physician Care PC | Single Specialty | Current |
Accepting new patients |
| Maple-Drake Real Estate, LLC | Past | Accepting new patients | |
| Mission Point of Superior Woods LLC | Past | Accepting new patients | |
| West Bloomfield Health and Rehabilitation Center, LLC | Past | Accepting new patients | |
| Mission Point of Madison Heights | Past | Accepting new patients | |
| Eaton Care Center, LLC | Past | Accepting new patients |
Locations
18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500
30600 Telegraph Rd
Ste 1130
Bingham Farms, MI 48025
Phone (248) 622-6195
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
2102 Orleans St
Detroit, MI 48207
Phone (313) 462-4362
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
9480 E M 21
Ovid, MI 48866
Phone (989) 834-0000
17260 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 595-8271
2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 4301502815 | MI | Yes |
Addresses
Primary practice location
17260 W 10 Mile Rd
Southfield, MI 48075-2949
Mailing address
17260 W 10 Mile Rd
Southfield, MI 48075-2949
Other providers in Southfield, MI
- Glenda Pauletta Evans
- James Evans II
- Juanita Evans
- Kameron Evans
- Kayla Marie Evans
- Marisa Evans
- Marjorie Evans
- Mary Yvonne Evans
- Rachael Evans
- Ronda Yvonne Evans
All providers in Southfield, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.