Individual provider Active NPI

McKenna Kaye, DPM

  • Podiatrist
  • Saint Clair Shores, MI
National Provider Identifier
1467959189
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400417 Issued in MI
Practice address
27593 Harper Ave
Saint Clair Shores, MI 48081-1923
Phone
(586) 779-6140
Fax
(586) 779-9865
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Podiatrist 213E00000X 5901400417 MI Primary

Addresses

Primary practice location

27593 Harper Ave
Saint Clair Shores, MI 48081-1923

Mailing address

27593 Harper Ave
Saint Clair Shores, MI 48081-1923
Phone (586) 779-6140

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719001935 MI Practitioner - Podiatry 6204239908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony V Benenati DPM PCGroup PAC ID 8820021975, 4 clinicians

Practice addresses (Care Compare)

27593 Harper Ave
St Clair Shores, MI 48081-1923
Phone (586) 779-6140

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of skin lesions14
Removal of nail tissue408
Removal or shaving of skin growth73
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400417MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony V Benenati DPM PC Podiatrist CurrentSince Jul 12, 2021 Accepting new patients

Locations

46591 Romeo Plank Rd
Ste 104
Macomb, MI 48044
Phone (586) 416-3668

27593 Harper Ave
St Clr Shores, MI 48081
Phone (586) 779-6140

26440 Hoover Rd
Ste B
Warren, MI 48089
Phone (586) 756-3338

Interoperability endpoints

  • Direct secure messaging: mkaye1134262@direct.hfhs.org

Organizations & group practices 1

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1467959189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27593 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811923",
            "telephone_number": "586-779-6140",
            "fax_number": "586-779-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27593 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811923",
            "telephone_number": "586-779-6140",
            "fax_number": "586-779-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "MCKENNA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.