Individual provider Active NPI

Kimberly Alyson Drenser, MD

  • Retina Specialist (Ophthalmology) Physician
  • Royal Oak, MI
National Provider Identifier
1508894643
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301081731 Issued in MI
Practice address
3555 W 13 Mile Rd
LL-20
Royal Oak, MI 48073-6710
Phone
(248) 288-2280
Fax
(248) 288-5644
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301081731 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301081731 MI Primary

Addresses

Primary practice location

3555 W 13 Mile Rd
LL-20
Royal Oak, MI 48073-6710

Mailing address

39650 Orchard Hill PL
200
Novi, MI 48375-5331
Phone (248) 319-0161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdrenser@arcmi.intellechartdirect.net

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413001234 MI Practitioner - Ophthalmology 1052358710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

2000 N Huron River Dr
Suite 100
Ypsilanti, MI 48197-1600
Phone (734) 572-1200

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone (248) 288-2280

860 E Front St
Traverse City, MI 49686-2704
Phone (231) 938-0710

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081731MIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants, PC Ophthalmology CurrentSince Jul 7, 2003 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 1, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients
Alliance Physicians Inc Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

952 N Center Ave
Gaylord, MI 49735
Phone (989) 448-0937

952 N Center Ave
Unit D
Gaylord, MI 49735

4085 Cedar Bluff Dr
Petoskey, MI 49770
Phone (231) 439-9230

2609 Electric Ave
Ste A
Port Huron, MI 48060
Phone (810) 981-1300

1000 W University Dr
Ste 102
Rochester, MI 48307
Phone (248) 652-7400

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3555 W 13 Mile Rd
#20
Royal Oak, MI 48073
Phone (248) 288-2269

3555 W 13 Mile Rd
Ste LL20
Royal Oak, MI 48073
Phone (248) 288-2280

860 E Front St
Traverse City, MI 49686
Phone (231) 938-0710

2000 N Huron River Dr
Ste 100
Ypsilanti, MI 48197
Phone (734) 572-1200

Interoperability endpoints

  • Direct secure messaging: kdrenser478571@epic00.shdirect.org

Organizations & group practices 6

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 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1508894643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL",
            "address_2": "200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755331",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD",
            "address_2": "LL-20",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2280",
            "fax_number": "248-288-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENSER",
        "first_name": "KIMBERLY",
        "middle_name": "ALYSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301081731",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301081731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdrenser@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3555 W 13 Mile Rd",
            "address_2": "LL-20",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.