Individual provider Active NPI

Vikram Kinni, M.D.

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1528293917
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301094320 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-1601
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301094320 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

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
I20150922000377 MI Practitioner - Diagnostic Radiology 9830321777 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southfield Radiology Associates, PLLCGroup PAC ID 6800877481, 38 clinicians
Ain Imaging PLCGroup PAC ID 1355513003, 15 clinicians
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians
NDS Radiology PLLCGroup PAC ID 2062408875, 15 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

27555 Middlebelt Rd
Farmingtn HLS, MI 48334-5011
Phone (248) 478-5512

39475 Lewis Dr
Suite 130
Novi, MI 48377-2977
Phone (248) 374-0502

39595 W 10 Mile Rd
Suite 102
Novi, MI 48375-2948
Phone (248) 476-6980

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Jan 19, 2019 Accepting new patients
Art of Radiology Imaging Associates, PLLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Ain Imaging PLC Diagnostic Radiology CurrentSince Jan 5, 2017 Accepting new patients
VMD Primary Providers Eastern Michigan, PC CurrentSince Jan 1, 2022 Accepting new patients
Southfield Radiology Associates, PLLC Diagnostic Radiology CurrentSince Aug 10, 2015 Accepting new patients
NDS Radiology Inc. Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology CurrentSince Aug 10, 2015 Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients

Locations

27555 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 478-5512

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

39595 W 10 Mile Rd
Ste 102
Novi, MI 48375
Phone (248) 476-6980

29409 Haggerty Rd
Ste 100
Novi, MI 48377
Phone (248) 471-0675

28700 Cabot Dr
Ste 500
Novi, MI 48377
Phone (248) 476-6980

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

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

22250 Providence Dr
Ste 207
Southfield, MI 48075
Phone (248) 552-0360

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Organizations & group practices 8

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 5

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1528293917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNI",
        "first_name": "VIKRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301094320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.