NPIMap

Individual provider Active NPI

Kyra Porter

  • Emergency Medicine Physician
  • Monroe, MI
National Provider Identifier
1710618145
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5151015934 Issued in MI
Practice address
718 N Macomb St
Monroe, MI 48162-7815
Phone
(734) 240-8400
NPI assigned
Jun 17, 2022
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.017176 OH
Emergency Medicine Physician 207P00000X 5151015934 MI Primary

Addresses

Primary practice location

718 N Macomb St
Monroe, MI 48162-7815

Mailing address

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240916002945 OH Practitioner - Emergency Medicine 4789063363 Reassigns benefits to 3 organizations
I20250711000340 CO Practitioner - Emergency Medicine 4789063363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado West Emergency Physicians LLCGroup PAC ID 6103808035, 21 clinicians

Practice addresses (Care Compare)

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 244-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
83.74

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Jul 6, 2024 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 19, 2024 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince Jul 6, 2024 Accepting new patients
Colorado West Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Interventional Pain Consultants, LLC PastSince Feb 20, 2009 Accepting new patients

Locations

Dept 0861
Denver, CO 80256
Phone (970) 298-1977

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1710618145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "734-240-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "734-240-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.017176",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5151015934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.