Individual provider Active NPI

Barrett Alexander Kielhorn, D.O.

  • Surgery Physician
  • Charlevoix, MI
National Provider Identifier
1750720132
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101020419 Issued in MI
Practice address
14695 Park Ave
Charlevoix, MI 49720-1920
Phone
(231) 547-2812
Fax
(231) 547-3067
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101020419 MI Primary

Addresses

Primary practice location

14695 Park Ave
Charlevoix, MI 49720-1920

Mailing address

333 Commerce Ave SW
Unit 42
Grand Rapids, MI 49503-6417
Phone (517) 937-5975

Other practice location 1

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200

Other practice location 2

927 S Carmel St
Cadillac, MI 49601-2547
Phone (231) 876-3876

Other practice location 3

4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900

Other practice location 4

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 547-2812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BARRETTKIELHORN@cah.cernerdirect.com

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
I20180803002558 MI Practitioner - General Surgery 2961645890 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020419MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Sep 1, 2019 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Aug 6, 2018 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Aug 6, 2018 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Surgery CurrentSince Sep 1, 2025 Accepting new patients
Munson Medical Center CurrentSince Sep 1, 2019 Accepting new patients
Munson Healthcare Charlevoix Hospital Surgery Current Accepting new patients
Charlevoix Area Hospital Surgery Past Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

14695 Park Ave
Charlevoix, MI 49720
Phone (231) 547-2812

14695 Park Ave
Ste A
Charlevoix, MI 49720
Phone (231) 547-2812

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • Direct secure messaging: barrettkielhorn@cah.cernerdirect.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare Charlevoix Hospital 57 clinicians
Munson Healthcare Otsego Memorial Hospital 126 clinicians

Practice addresses (Care Compare)

14695 Park Ave
Charlevoix, MI 49720-1920
Phone (231) 547-2812

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6000

Hospital & facility affiliations

  • Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Removal of tissue1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1750720132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE AVE SW",
            "address_2": "UNIT 42",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036417",
            "telephone_number": "517-937-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14695 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201920",
            "telephone_number": "231-547-2812",
            "fax_number": "231-547-3067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199606",
            "country_code": "US",
            "telephone_number": "616-252-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 S Carmel St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012547",
            "country_code": "US",
            "telephone_number": "231-876-3876",
            "fax_number": "231-775-1115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Park Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847331",
            "country_code": "US",
            "telephone_number": "231-392-8900",
            "fax_number": "231-392-8973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-547-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIELHORN",
        "first_name": "BARRETT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101020419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BARRETTKIELHORN@cah.cernerdirect.com",
            "affiliation": "N",
            "address_1": "14695 Park Ave",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497201920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

Verify at the official NPI Registry.