NPIMap

Individual provider Active NPI

Patricia Kindsvater, MD

  • Family Medicine Physician
  • East China, MI
National Provider Identifier
1508398405
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301502749 Issued in MI
Practice address
4014 River Rd Ste 6
East China, MI 48054-2916
Phone
(810) 329-6677
Fax
(248) 354-2796
NPI assigned
Mar 30, 2017
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301502749 MI Primary
Family Medicine Physician 207Q00000X 5315085900 MI

Addresses

Primary practice location

4014 River Rd Ste 6
East China, MI 48054-2916

Mailing address

4014 River Rd Ste 6
East China, MI 48054-2916
Phone (810) 329-6677

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
I20200813002222 MI Practitioner - Family Practice 2567736259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4014 S River Rd
Suite 6
East China, MI 48054-2916
Phone (810) 329-6677

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315085900MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 30, 2022 Accepting new patients
Henry Ford Health River District Hospital Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Henry Ford Health River District Hospital CurrentSince Aug 15, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 30, 2022 Accepting new patients

Locations

4014 S River Rd
Ste 6
East China, MI 48054
Phone (810) 329-6677

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

Interoperability endpoints

  • Direct secure messaging: pkindsvater1134714@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1508398405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD STE 6",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-6677",
            "fax_number": "248-354-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD STE 6",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-6677",
            "fax_number": "248-354-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDSVATER",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502749",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5315085900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East China, MI

Sources for this page

Verify at the official NPI Registry.