Individual provider Active NPI

Kelly Elizabeth Suhr, P.A.-C

  • Medical Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1841450160
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601005270 Issued in MI
Practice address
3535 W 13 Mile Rd
Suite 437
Royal Oak, MI 48073-6770
Phone
(248) 288-2210
Fax
(248) 589-9875
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601005270 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd
Suite 437
Royal Oak, MI 48073-6770

Mailing address

3535 W 13 Mile Rd
Suite 437
Royal Oak, MI 48073-6770
Phone (248) 288-2210

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000525 MI Practitioner - Physician Assistant 7113094202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LMT Rehabilitation Associates PCGroup PAC ID 0446265268, 30 clinicians
Joel L Young MD PCGroup PAC ID 3971575929, 59 clinicians

Practice addresses (Care Compare)

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 288-2210

441 S Livernois Rd
100 Rochester Center for Behavioral Medicin
Rochester HLS, MI 48307-2585
Phone (248) 608-8800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005270MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LMT Rehabilitation Associates,PC CurrentSince Mar 1, 2012 Accepting new patients
LMT Rehabilitation Associates Past Accepting new patients

Locations

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073
Phone (248) 288-2210

4600 Investment Dr
Ste 180
Troy, MI 48098
Phone (248) 288-2210

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1841450160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-2210",
            "fax_number": "248-589-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-2210",
            "fax_number": "248-589-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUHR",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.