Active NPI
David Chester Kmak, MD
- Obstetrics & Gynecology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301406818
- Practice address
- 4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461 - Phone
- (313) 745-0499
- Fax
- (313) 833-8801
- NPI assigned
- Jun 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4301406818 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301406818 | MI | Primary |
Addresses
Primary practice location
4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Mailing address
2306 Momentum Place
Chicago, IL 60689-5323
Phone (810) 720-5715
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wayne State University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Phone (313) 833-8800
Hospital & facility affiliations
- Harper University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of Michigan PLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hutzel Womens Health Specialists | Current | Accepting new patients | |
| Metro Women'S Health II, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Kmak Hendrix & McNeeley PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| University Women'S Care, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| University Physician Group | Obstetrics & Gynecology | Past | Accepting new patients |
| Metro Partners in Womens Health, PC | Obstetrics & Gynecology | Past | Accepting new patients |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients |
Locations
7148 Reliable Pkwy
Chicago, IL 60686
4727 Saint Antoine St
Ste 304
Detroit, MI 48201
Phone (313) 745-0499
9015 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 213-4906
46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200
28800 Ryan Rd
Ste 200
Warren, MI 48092
Phone (586) 558-1110
Interoperability endpoints
- https://api.platform.athenahealth.com/23753/brand/1/csg/1/fhir/r4
- dkmak@direct.dmc.org
- david.kmak.1@23753.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/5c654365-4e23-4939-9491-d281db1c1688/
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1992984744
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
-
- Obstetrics Physician
- Detroit, MI
- NPI 1902213689
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1447439294
-
- Obstetrics & Gynecology Physician
- Novi, MI
- NPI 1083601082
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1780623637
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1700826252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 MOMENTUM PLACE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895323",
"telephone_number": "810-720-5715",
"fax_number": "810-732-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 SAINT ANTOINE ST",
"address_2": "SUITE 304",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011461",
"telephone_number": "313-745-0499",
"fax_number": "313-833-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KMAK",
"first_name": "DAVID",
"middle_name": "CHESTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301406818",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301406818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.