Individual provider Active NPI

Kelsey Behan, MD

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
National Provider Identifier
1740711126
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
430150995 Issued in MI
Practice address
4936 W Clark Rd Ste 100
Ypsilanti, MI 48197-0861
Phone
(734) 434-6200
Fax
(734) 434-7373
NPI assigned
Mar 27, 2017
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Obstetrics & Gynecology Physician 207V00000X 036.156721 IL
Obstetrics & Gynecology Physician 207V00000X 430150995 MI Primary

Addresses

Primary practice location

4936 W Clark Rd Ste 100
Ypsilanti, MI 48197-0861

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

4350 Jackson Rd Ste 300
Ann Arbor, MI 48103-1889
Phone (734) 995-2259

Other practice location 2

5333 McAuley Dr Rm 2110
Ypsilanti, MI 48197-1097
Phone (734) 802-5030

Other practice location 3

2305 Genoa Business Park Dr Ste 220
Brighton, MI 48114-7005
Phone (810) 494-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211007003435 IL Practitioner - Obstetrics/Gynecology 5294008090
I20230830003884 MI Practitioner - Obstetrics/Gynecology 5294008090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

4936 W Clark Rd
Ypsilanti, MI 48197-0861
Phone (734) 434-6200

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

775 S Main St
Chelsea, MI 48118-1383

990 W Ann Arbor TRL
Plymouth, MI 48170-6202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.156721ILMDObstetrics & Gynecology Physician
430150995MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology Current Accepting new patients
Iha Health Service Corporation Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Central Dupage Physician Group Family Medicine PastSince Aug 1, 2022 Accepting new patients
Iha Health Services Corporation Family Medicine Past Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

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

4350 Jackson Rd
Ste 300
Ann Arbor, MI 48103
Phone (734) 995-2259

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

2305 Genoa Business Park Dr
Ste 220
Brighton, MI 48114
Phone (810) 494-6860

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

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090

4936 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 434-6200

4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500

5333 McAuley Dr
Rm 2110
Ypsilanti, MI 48197
Phone (734) 712-3967

Interoperability endpoints

  • Direct secure messaging: kbehan43319@direct.trinity-health.org

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 1

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1740711126",
    "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": "4936 W CLARK RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970861",
            "telephone_number": "734-434-6200",
            "fax_number": "734-434-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 Jackson Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481031889",
            "country_code": "US",
            "telephone_number": "734-995-2259",
            "fax_number": "734-995-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5333 McAuley Dr Rm 2110",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971097",
            "country_code": "US",
            "telephone_number": "734-802-5030",
            "fax_number": "734-887-8946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Genoa Business Park Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481147005",
            "country_code": "US",
            "telephone_number": "810-494-6860",
            "fax_number": "810-229-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHAN",
        "first_name": "KELSEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.156721",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "430150995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.