Individual provider Active NPI

Anthony John Kilbane, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
National Provider Identifier
1730292020
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301052982 Issued in MI
Practice address
15144 Levan Rd
Livonia, MI 48154-5027
Phone
(734) 779-2136
Fax
(734) 779-2155
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301052982 MI Primary

Addresses

Primary practice location

15144 Levan Rd
Livonia, MI 48154-5027

Mailing address

15144 Levan Rd Ste 44
Livonia, MI 48154-5027
Phone (734) 779-2136

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000476 MI Practitioner - Endocrinology 7315014701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

1213 Mason St
Dearborn, MI 48124-2841
Phone (313) 278-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301052982MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joel Wellness Clinic PLLC CurrentSince Jul 21, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 1, 2025 Accepting new patients
Adult Endocrinology Consultants, PC Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2007 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

1213 Mason St
Dearborn, MI 48124
Phone (313) 278-2800

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

15138 Levan Rd
Ste 38
Livonia, MI 48154
Phone (734) 779-2133

15144 Levan Rd
Ste 44
Livonia, MI 48154
Phone (734) 356-3303

15144 Levan Rd
Livonia, MI 48154
Phone (734) 779-2136

15144 Levan Rd
#44
Livonia, MI 48154

Interoperability endpoints

  • Direct secure messaging: akilbane3233567@epic00.corewelldirect.org
  • FHIR API: https://api.platform.athenahealth.com/24208/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1730292020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15144 LEVAN RD STE 44",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-779-2136",
            "fax_number": "734-779-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15144 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-779-2136",
            "fax_number": "734-779-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBANE",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301052982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.