Individual provider Active NPI

Keri J Thompson, D.O.

  • Obstetrics & Gynecology Physician
  • Novi, MI
National Provider Identifier
1568626703
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1380056 Issued in MI
Practice address
46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456
Phone
(248) 465-1200
Fax
(248) 465-2850
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1380056 MI Primary

Addresses

Primary practice location

46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456

Mailing address

46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456
Phone (248) 465-1200

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
I20120913000279 MI Practitioner - Obstetrics/Gynecology 9638327851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2461
Phone (248) 465-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1380056MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients

Locations

1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

Interoperability endpoints

  • Direct secure messaging: keri.thompson.1@26060.direct.athenahealth.com
  • Direct secure messaging: kthompson1155636@direct.hfhs.org
  • Direct secure messaging: keri.thompson.1@16555.direct.athenahealth.com

Organizations & group practices 2

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1568626703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "SUITE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772456",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "SUITE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772456",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KERI",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "L1380056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.