Individual provider Active NPI

Jennifer Kuo, MD

  • Urology Physician
  • Chelsea, MI
National Provider Identifier
1730534074
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301506848 Issued in MI
Practice address
14650 E Old US Highway 12
Ste 303
Chelsea, MI 48118
Phone
(734) 712-8100
Fax
(734) 887-8942
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301506848 MI Primary

Addresses

Primary practice location

14650 E Old US Highway 12
Ste 303
Chelsea, MI 48118

Mailing address

24 Frank Lloyd Wright Drive
J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other practice location 1

25500 Meadowbrook Rd Ste 225
Novi, MI 48375-1882
Phone (248) 426-1300

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
I20220604000109 MI Practitioner - Urology 7911294707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

620 Byron Rd
Howell, MI 48843-1002

7575 Grand River Rd
Brighton, MI 48114-9309
Phone (734) 712-7255

7575 Grand River Rd
Brighton, MI 48114-9390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Urology CurrentSince Aug 1, 2024 Accepting new patients
Michigan Vasectomy Urology CurrentSince Jan 28, 2025 Accepting new patients
Iha Health Service Corporation CurrentSince Aug 1, 2024 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Aug 1, 2022 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Aug 1, 2022 Accepting new patients
Iha Health Services Corporation Past Accepting new patients

Locations

710 Avis Dr
Ste 200
Ann Arbor, MI 48108
Phone (734) 373-7246

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

4350 Jackson Rd
Ste 350
Ann Arbor, MI 48103

359 Enterprise Ct
Ste C
Bloomfield Township, MI 48302
Phone (248) 220-7505

14650 E Old US Highway 12
Ste 303
Chelsea, MI 48118
Phone (734) 475-4177

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

620 Byron Rd
Ste 1201
Howell, MI 48843
Phone (517) 545-6000

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

Interoperability endpoints

  • Direct secure messaging: jkuo2119355@direct.trinity-health.org

Organizations & group practices 7

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.

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": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1730534074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 E OLD US HIGHWAY 12",
            "address_2": "STE 303",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48118",
            "telephone_number": "734-712-8100",
            "fax_number": "734-887-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25500 Meadowbrook Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751882",
            "country_code": "US",
            "telephone_number": "248-426-1300",
            "fax_number": "248-426-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2024-07-31",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301506848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.