Individual provider Active NPI

Kyle Barjon, DO

  • Obstetrics & Gynecology Physician
  • Canton, MI
National Provider Identifier
1770042947
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101027957 Issued in MI
Practice address
6300 N Haggerty Rd Ste 200
Canton, MI 48187-4472
Phone
(734) 981-8181
Fax
(734) 981-1259
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101027957 MI Primary

Addresses

Primary practice location

6300 N Haggerty Rd Ste 200
Canton, MI 48187-4472

Mailing address

6300 N Haggerty Rd Ste 200
Canton, MI 48187-4472
Phone (734) 981-8181

Other practice location 1

18101 Oakwood Blvd Ste 126
Dearborn, MI 48124-4089
Phone (313) 593-7819

Other practice location 2

1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Phone (772) 398-3623

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
I20240821003577 MI Practitioner - Obstetrics/Gynecology 9133556319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Women'S Care, PLLCGroup PAC ID 7113924325, 3 clinicians

Practice addresses (Care Compare)

6300 N Haggerty Rd
Suite 200
Canton, MI 48187-4472
Phone (734) 981-8181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027957MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jul 3, 2024 Accepting new patients
Michigan Women'S Care, PLLC Obstetrics & Gynecology CurrentSince Jan 3, 2025 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare Group I, LLC Obstetrics & Gynecology PastSince Jun 1, 2020 Accepting new patients

Locations

6300 N Haggerty Rd
Ste 200
Canton, MI 48187
Phone (734) 981-8181

2100 Monroe St
Dearborn, MI 48124
Phone (313) 278-3900

18101 Oakwood Blvd
Ste 126
Dearborn, MI 48124
Phone (313) 382-8296

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: kbarjon1224544@epic00.shdirect.org
  • Direct secure messaging: kyle.barjon.1@15822.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15822/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1770042947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N HAGGERTY RD STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874472",
            "telephone_number": "734-981-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N HAGGERTY RD STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874472",
            "telephone_number": "734-981-8181",
            "fax_number": "734-981-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 SE Tiffany Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527521",
            "country_code": "US",
            "telephone_number": "772-398-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARJON",
        "first_name": "KYLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101027957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.