Active NPI
Justin Thomas Kessler, M.D.
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301096854
- Practice address
- 4201 Saint Antoine St
Department of Emergency Medicine Suite 3R
Detroit, MI 48201-2153 - Phone
- (313) 745-3040
- NPI assigned
- Jul 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 4301096854 | MI | |
| Emergency Medicine Physician | 207P00000X | 4301096854 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Department of Emergency Medicine Suite 3R
Detroit, MI 48201-2153
Mailing address
4201 Saint Antoine St
Department of Emergency Medicine Suite 3R
Detroit, MI 48201-2153
Phone (313) 745-3040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 796-8691
Hospital & facility affiliations
- Corewell Health Big Rapids Hospital
- Corewell Health Reed City Hospital
- Corewell Health Ludington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096854 | MI | MD | Sports Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecs Western Michigan PC | Emergency Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients |
Locations
605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079
4100 Lake Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 267-8860
615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
Interoperability endpoints
- jkessler282891@direct.hfhs.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1992281000
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1811209570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE SUITE 3R",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE SUITE 3R",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "JUSTIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "MI",
"license": "4301096854",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301096854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.