Active NPI
Harry Alger Kezelian Jr., D.P.M.
- Podiatrist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001098
- Practice address
- 29877 Telegraph Rd Ste 200
Southfield, MI 48034-7659 - Phone
- (248) 354-0057
- Fax
- (248) 809-6071
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001098 | MI | Primary |
Addresses
Primary practice location
29877 Telegraph Rd Ste 200
Southfield, MI 48034-7659
Mailing address
29877 Telegraph Rd Ste 200
Southfield, MI 48034-7659
Phone (248) 354-0057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113830 | Medicaid | MI |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone (248) 354-0057
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001098 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harry a Kezelian Jr D P M P C | Podiatrist | Current | Accepting new patients |
| Polyclinic Associates PC | Past | Accepting new patients | |
| Foot and Ankle Institute of Michigan PLLC | Podiatrist | Past | Accepting new patients |
Locations
4160 John R St
Ste 1012
Detroit, MI 48201
Phone (313) 831-6442
27207 Lahser Rd
Ste 250A
Southfield, MI 48034
Phone (248) 424-8637
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730
Interoperability endpoints
- hkezelia@direct.dmc.org
- hkezelian@hakjdp-mi.direct.office.nextgen.com
- hkezelian1134558@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 and National Provider Directory roles.
-
- Podiatrist
- Detroit, MI
- NPI 1952455610
-
- Podiatrist
- West Bloomfield, MI
- NPI 1629088729
-
- Specialist
- Southfield, MI
- NPI 1174665988
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768003200000",
"number": "1629083035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347659",
"telephone_number": "248-354-0057",
"fax_number": "248-809-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347659",
"telephone_number": "248-354-0057",
"fax_number": "248-809-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEZELIAN",
"first_name": "HARRY",
"middle_name": "ALGER",
"name_suffix": "Jr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3113830",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.