Active NPI
Ehud H Kapen, MD
- Pediatrics Physician
- Bingham Farms, MI
National Provider Identifier
1801886361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301066642
- Practice address
- 31500 Telegraph Rd
Suite 105
Bingham Farms, MI 48025-4367 - Phone
- (248) 540-8700
- Fax
- (248) 540-8701
- NPI assigned
- Oct 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301066642 | MI | Primary |
Addresses
Primary practice location
31500 Telegraph Rd
Suite 105
Bingham Farms, MI 48025-4367
Mailing address
31500 Telegraph Rd
Suite 105
Bingham Farms, MI 48025-4367
Phone (248) 540-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4100416 | Medicaid | MI |
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 |
|---|---|---|---|
| 4301066642 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfield Pediatric Physicains | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ekapen1134077@direct.hfhs.org
- ehudkapen@southfield.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801886361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "SUITE 105",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-540-8700",
"fax_number": "248-540-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "SUITE 105",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-540-8700",
"fax_number": "248-540-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPEN",
"first_name": "EHUD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301066642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4100416",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.