Individual provider Active NPI

Vijaya Aroor Kinni, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Southfield, MI
National Provider Identifier
1528050986
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301044302 Issued in MI
Practice address
16001 W 9 Mile Rd
Dept of Critical Care
Southfield, MI 48075-4818
Phone
(248) 849-3000
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301044302 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Dept of Critical Care
Southfield, MI 48075-4818

Mailing address

25925 Telegraph Rd
210
Southfield, MI 48034-2518
Phone (248) 849-0342

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
I20120127000808 MI Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 6103083407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians
Consultants in Sleep and Pulmonary Medicine PLLCGroup PAC ID 1658333125, 14 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W Nine Mile Rd
Southfield, MI 48075-4803
Phone (248) 849-3000

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Oct 26, 2011 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Oct 26, 2011 Accepting new patients
Consultants in Sleep & Pulmonary Medicine PLLC Critical Care Medicine CurrentSince Jan 1, 2012 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

29275 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 350-2722

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

25925 Telegraph Rd
Ste 210
Southfield, MI 48033
Phone (248) 746-0342

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: vkinni1134769@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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1528050986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 TELEGRAPH RD",
            "address_2": "210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342518",
            "telephone_number": "248-849-0342",
            "fax_number": "248-849-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "address_2": "DEPT OF CRITICAL CARE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNI",
        "first_name": "VIJAYA",
        "middle_name": "AROOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301044302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.