NPIMap

Individual provider Active NPI

Kelly Anne Ternes, D.O.

  • Pulmonary Disease Physician
  • Shelby Township, MI
National Provider Identifier
1609187020
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101018824 Issued in MI
Practice address
50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141
Phone
(586) 314-0080
Fax
(877) 673-3562
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101018824 MI
Pulmonary Disease Physician 207RP1001X 5101018824 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141

Mailing address

50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

Other practice location 1

21000 E 12 Mile Rd Ste 112
Saint Clair Shores, MI 48081-1156
Phone (586) 314-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001925 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1052553195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates PCGroup PAC ID 0547250607, 19 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, shared by 21 NPIs, 183 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Critical Care Associates PC Pulmonary Disease CurrentSince Jul 1, 2019 Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients

Locations

18720 Mack Ave
Ste 100
Grosse Pointe Farms, MI 48236
Phone (586) 314-0080

50505 Schoenherr Rd
Ste 290
Shelby Township, MI 48315
Phone (248) 879-5620

21000 E 12 Mile Rd
Ste 112
St Clr Shores, MI 48081
Phone (586) 314-0080

Interoperability endpoints

  • Direct secure messaging: kternes623246@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA
  • Direct secure messaging: kelly.ternes@pcca.eclinicaldirectplus.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 8

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1609187020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 E 12 Mile Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811156",
            "country_code": "US",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERNES",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018824",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101018824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.