Active NPI
John Kanitra, MD
- Vascular Surgery Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 4301504105
- Practice address
- 5325 Elliott Dr Ste 101
Ypsilanti, MI 48197-8633 - Phone
- (734) 712-8272
- Fax
- (734) 887-8945
- NPI assigned
- Apr 19, 2018
- Last updated
- Aug 31, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.154814 | OH | |
| Surgery Physician | 208600000X | 4301504105 | MI | |
| Vascular Surgery Physician | 2086S0129X | 4301504105 | MI | Primary |
| Vascular Surgery Physician | 2086S0129X | BP10084099 | TX | |
| Vascular Surgery Physician | 2086S0129X | 35.154814 | OH |
Addresses
Primary practice location
5325 Elliott Dr Ste 101
Ypsilanti, MI 48197-8633
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
3500 Gaston Ave Ste 1013
Dallas, TX 75246-2088
Phone (469) 814-3518
Other practice location 2
272 Hospital Rd Ste 115
Chillicothe, OH 45601-9031
Phone (740) 779-4360
Other practice location 3
3000 Arlington Ave Fl 1
Toledo, OH 43614-2595
Phone (419) 383-3963
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.ctv@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Michigan State University College of Human Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677
19000 St Joes Pkwy
Livonia, MI 48152-1477
2305 Genoa Bus Park Dr
Brighton, MI 48114-7005
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
5325 Elliott Dr
Ypsilanti, MI 48197-8633
7575 Grand River Rd
Brighton, MI 48114-9309
Phone (734) 712-7255
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- Trinity Health Livingston Hospital
- St Joe Mercy Hospital System Livonia
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.154814 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Surgery | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Surgery | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Past | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5325 Elliott Dr
Ste 101
Ypsilanti, MI 48197
Phone (734) 712-8272
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
3000 Arlington Ave
Fl 1
Toledo, OH 43614
Phone (419) 383-3963
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
Interoperability endpoints
- jkanitra4533854@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA General Surgery
- Surgery Physician
- Ypsilanti, MI
- NPI 1255470233
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1669005534
-
dba IHA Milan Primary Care
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1730676362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"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": "5325 ELLIOTT DR STE 101",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978633",
"telephone_number": "734-712-8272",
"fax_number": "734-887-8945"
}
],
"practiceLocations": [
{
"address_1": "3500 Gaston Ave Ste 1013",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752462088",
"country_code": "US",
"telephone_number": "469-814-3518",
"fax_number": "469-814-4854",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "272 Hospital Rd Ste 115",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "740-779-4360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Arlington Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-3963",
"fax_number": "419-383-6167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANITRA",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.154814",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301504105",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301504105",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "BP10084099",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35.154814",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.ctv@adena.medicity.net",
"affiliation": "N",
"address_1": "272 Hospital Rd Ste 115",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456019031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.