Individual provider Active NPI

Kirsten Michelle Miller-Unger, M.D.

  • Pediatrics Physician
  • Lenox, MI
National Provider Identifier
1831176478
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301078011 Issued in MI
Practice address
36555 26 Mile Rd Ste 2100
Lenox, MI 48048-3188
Phone
(586) 532-0599
Fax
(586) 566-8967
NPI assigned
Dec 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301078011 MI Primary
Specialist 174400000X 4301078011 MI

Addresses

Primary practice location

36555 26 Mile Rd Ste 2100
Lenox, MI 48048-3188

Mailing address

57222 Breckenridge Dr
Washington, MI 48094-3577
Phone (586) 480-3895

Other identifiers 2

IdentifierTypeStateIssuer
4764050MedicaidMI
383577242OtherMISHARED TAX ID

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301078011MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northpointe Pediatrics, P.C. Pediatrics Past Accepting new patients
Kidz 1St, P.L.L.C. Specialist PastSince Oct 2, 2022 Accepting new patients
Shelby Pediatric Associates and Child Lung Center PC Pediatrics PastSince Apr 21, 2024 Accepting new patients
Triad Medicine and Pediatric Associates, PLLC Pediatrics Past Accepting new patients
Northpointe Pediatrics PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmillerunger510242@direct.hfhs.org
  • Direct secure messaging: kirsten.miller.unger.1@7131.direct.athenahealth.com

Organizations & group practices 5

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": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1831176478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57222 BRECKENRIDGE DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943577",
            "telephone_number": "586-480-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36555 26 MILE RD STE 2100",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480483188",
            "telephone_number": "586-532-0599",
            "fax_number": "586-566-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-UNGER",
        "first_name": "KIRSTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301078011",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301078011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4764050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARED TAX ID",
            "identifier": "383577242",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.