Kenisha Jean Evans, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301502815 Issued in 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

Last updated

Mar 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Southeastern Michigan, Inc Hospice, Southfield, MI, CCN 231501
• Elara Caring Hospice, Jackson, MI, CCN 231581
• West Bloomfield Health and Rehabilitation Center Nursing home, West Bloomfield, MI, CCN 235488
• Regency at Lansing West Nursing home, Lansing, MI, CCN 235706
• Notting Hill of West Bloomfield Nursing home, West Bloomfield, MI, CCN 235663

Merit-based Incentive Payment System (MIPS)

Final score

82.85 of 100Reported as group

Quality

65.84

Promoting interoperability

100

Improvement activities

40

Cost

77

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ark Hospice LLC

  dba Quality Care Hospice

  • Community Based Hospice Care Agency
  • Bingham Farms, MI
  • NPI 1528641917

  Contracted Managing Employee

  CMS ownership

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.

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933

  Single Specialty

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  Single Specialty

  Medicare reassignment NPD
• LTC Physician Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Bingham Farms, MI
  • NPI 1841991817

  Single Specialty

  Medicare reassignment NPD
• Total Health Care Management

  • Pain Clinic/Center
  • Southfield, MI
  • NPI 1407489289

  Single Specialty

  Medicare reassignment NPD
• Eaton Care Center, LLC

  dba Regency at Lansing West

  • Skilled Nursing Facility
  • Lansing, MI
  • NPI 1144658659
  NPD (past)
• Maple-Drake Real Estate, LLC

  dba Notting Hill of West Bloomfield

  • Skilled Nursing Facility
  • West Bloomfield, MI
  • NPI 1669808622
  NPD (past)
• Mission Point of Madison Heights

  dba Mission Point Nursing & Physical Rehabilitation Center of Madison Heig

  • Skilled Nursing Facility
  • Madison Heights, MI
  • NPI 1417546888
  NPD (past)
• Mission Point of Superior Woods LLC

  dba Mission Point Nursing & Physical Rehabilitation Ctr of Superior Woods

  • Skilled Nursing Facility
  • Superior Township, MI
  • NPI 1144819525
  NPD (past)
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)
• West Bloomfield Health and Rehabilitation Center, LLC

  dba West Bloomfield Health and Rehabilitation Center

  • Skilled Nursing Facility
  • West Bloomfield, MI
  • NPI 1073518171
  NPD (past)

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

• Eaton Care Center, LLC

  dba Regency at Lansing West

  • Skilled Nursing Facility
  • Lansing, MI
  • NPI 1144658659

  Nursing home

  Care Compare affiliation
• Great Lakes Home Health Services, Inc.

  dba Elara Caring

  • Community Based Hospice Care Agency
  • Jackson, MI
  • NPI 1568440055
  Care Compare affiliation
• Hospice of Michigan, Inc.

  dba Hospice of Southeastern Michigan

  • Community Based Hospice Care Agency
  • Southfield, MI
  • NPI 1689616054
  Care Compare affiliation
• Maple-Drake Real Estate, LLC

  dba Notting Hill of West Bloomfield

  • Skilled Nursing Facility
  • West Bloomfield, MI
  • NPI 1669808622

  Nursing home

  Care Compare affiliation
• West Bloomfield Health and Rehabilitation Center, LLC

  dba West Bloomfield Health and Rehabilitation Center

  • Skilled Nursing Facility
  • West Bloomfield, MI
  • NPI 1073518171

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1447770722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17260 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17260 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752949",
            "telephone_number": "248-809-6553",
            "fax_number": "248-809-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KENISHA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Pauletta Evans, LMT
• James Evans II
• Juanita Evans, MD
• Kameron Evans
• Kayla Marie Evans
• Marisa Evans
• Marjorie Evans
• Mary Yvonne Evans, MSW,LMSW
• Rachael Evans, LLP
• Ronda Yvonne Evans, LLPC

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.