Active NPI
Kenneth Joseph McNamee, M.D.
- Orthopaedic Surgery Physician
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- KM405342
- Practice address
- 214 E Elm Ave
Suite 200
Monroe, MI 48162-2600 - Phone
- (734) 243-9851
- Fax
- (734) 243-2527
- NPI assigned
- Jun 30, 2005
- Reactivated
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | KM405342 | MI | Primary |
Addresses
Primary practice location
214 E Elm Ave
Suite 200
Monroe, MI 48162-2600
Mailing address
211 Hollywood Dr
Monroe, MI 48162-2636
Phone (734) 243-9851
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 967 | Other | MI | HEALTH PLAN OF MICHIGAN |
| E85473 | Other | MI | HEALTH ALLIANCE PLAN |
| 1980954 | Medicaid | MI | |
| 4087152 | Other | MI | AETNA |
| 1003074 | Other | MI | CIGNA |
| P41114 | Other | MI | BLUE CARE NETWORK |
| M017009 | Other | MI | TRICARE |
| 02150 | Other | MI | PARAMOUNT |
| 0581044 | Other | MI | BCBS OF MICHIGAN |
| 200005615 | Other | MI | RAIL ROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmcnamee27740@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KM405342 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Corporation of Michigan | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
214 E Elm Ave
Ste 200
Monroe, MI 48162
Phone (734) 243-9851
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1740287291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 HOLLYWOOD DR",
"city": "MONROE",
"state": "MI",
"postal_code": "481622636",
"telephone_number": "734-243-9851",
"fax_number": "734-243-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E ELM AVE",
"address_2": "SUITE 200",
"city": "MONROE",
"state": "MI",
"postal_code": "481622600",
"telephone_number": "734-243-9851",
"fax_number": "734-243-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMEE",
"first_name": "KENNETH",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2023-11-03",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "KM405342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "967",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "E85473",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1980954",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4087152",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1003074",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P41114",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "M017009",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "02150",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "0581044",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "200005615",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmcnamee27740@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.