Khristine L Tate, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301082580 Issued in MI

Practice address

23455 Michigan Ave
Dearborn, MI 48124-1908

Phone

(313) 438-6094

Fax

(313) 438-6132

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Khristine L Joseph Former name

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
• Direct secure messaging: ktate14026@direct.hfhs.org

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.

• Henry Ford Urgent Care

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1184389876

  Family Medicine

  Medicare reassignment Care Compare group NPD
• American Ambulatory Physicians PLLC

  • Family Medicine Physician
  • Hartland, MI
  • NPI 1891052726
  Medicare reassignment NPD
• Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1821351610

  Family Medicine

  Medicare reassignment NPD
• Oak Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Oak Park, MI
  • NPI 1770980385
  Medicare reassignment NPD
• Southfield City Urgent Care PC

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1811278716
  Medicare reassignment NPD
• American Ambulatory Physicians

  • Urgent Care Clinic/Center
  • Hartland, MI
  • NPI 1437407483
  NPD (past)
• First Choice Medical Group PLLC

  • Primary Care Clinic/Center
  • Dearborn, MI
  • NPI 1750769394
  NPD (past)
• Occmed Connect LLC

  • Urgent Care Clinic/Center
  • Garden City, MI
  • NPI 1811767023
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1689870032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23455 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-438-6094",
            "fax_number": "313-438-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23455 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-438-6094",
            "fax_number": "313-438-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KHRISTINE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHRISTINE",
            "last_name": "JOSEPH",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carly Tarr, MD
• Kenneth P Tarr, DO
• Bashir D Tarraf, OD
• Nadine Tarraf
• Shereen B Tarraf, MS, BCBA, LBA
• S'Niyah Christina Tate
• Kaylor Ann Taubitz, M.A. CCC-SLP
• Cassandra Alyssa Tavtigian
• Tawfiq J.Hassan MD PC
• Abir Tawil, MD.

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.

Verify at the official NPI Registry.