Individual provider Active NPI

Larry Edward Kage, D.O.

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1588766224
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009265 Issued in MI
Practice address
6445 Hickory Hollow CT.
Flint, MI 48532
Phone
(810) 230-6890
NPI assigned
Sep 2, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009265 MI Primary

Addresses

Primary practice location

6445 Hickory Hollow CT.
Flint, MI 48532

Mailing address

6445 Hickory Hollow CT.
Flint, MI 48532
Phone (810) 230-6890

Other identifiers 1

IdentifierTypeStateIssuer
3235708MedicaidMI

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
I20100226000616 MI Practitioner - Family Practice 4587709720 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Jun 1, 1997 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Health Genesys Hospital Family Medicine CurrentSince Jun 1, 1997 Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

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

5445 Ali Dr
Grand Blanc, MI 48439
Phone (810) 428-1181

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: lkage1133946@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1588766224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 HICKORY HOLLOW CT.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-230-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 HICKORY HOLLOW CT.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-230-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGE",
        "first_name": "LARRY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3235708",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.