Individual provider Active NPI

Kathleen Behler

  • Internal Medicine Physician
  • Traverse City, MI
National Provider Identifier
1861430225
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301106511 Issued in MI
Practice address
10767 E Traverse Hwy
Traverse City, MI 49684-6219
Phone
(231) 947-1112
Fax
(231) 346-6017
NPI assigned
Jun 4, 2006
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036103015 IL
Internal Medicine Physician 207R00000X 4301106511 MI Primary
Pediatrics Physician 208000000X 036103015 IL
Pediatrics Physician 208000000X 4301106511 MI

Addresses

Primary practice location

10767 E Traverse Hwy
Traverse City, MI 49684-6219

Mailing address

10767 E Traverse Hwy
Traverse City, MI 49684-6219
Phone (231) 947-1112

Other practice location 1

6051 Frankfort Hwy
Benzonia, MI 49616-9558
Phone (231) 383-4800

Other practice location 2

119 S State St
Shelby, MI 49455-1243
Phone (231) 861-2130

Other practice location 3

148 W Parkdale Ave
Manistee, MI 49660-1128
Phone (231) 398-2258

Other practice location 4

1105 Sixth St
Traverse City, MI 49684-2349
Phone (231) 935-5000

Other practice location 5

525 12th St
Manistee, MI 49660-2053
Phone (231) 887-4801

Other practice location 6

310 W Beryl St
Scottville, MI 49454-1323
Phone (231) 233-6178

Other practice location 7

3954 Silver Lake Road
Traverse City, MI 49684
Phone (231) 642-5291

Other identifiers 3

IdentifierTypeStateIssuer
05-0540914OtherILWELLGROUP TAX ID
1861430225MedicaidMI
036103015MedicaidIL

Other names 1

  • Kathleen Gall Former name

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
I20150119000580 MI Practitioner - Internal Medicine 9931391018 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Indigo Hospital Medicine - Traverse City, PLC Internal Medicine CurrentSince Jan 26, 2015 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince May 29, 2019 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Specialty Physicians of Illinois, LLC Internal Medicine PastSince Feb 8, 2023 Accepting new patients
Northwest Michigan Health Services, Inc Past Accepting new patients
Northwest Michigan Health Services Inc. Past Accepting new patients
Northwest Michigan Health Services, Inc Internal Medicine Past Accepting new patients
Northwest Michigan Health Services, Inc. PastSince Mar 12, 2024 Accepting new patients
Specialty Physicians of Illinois, LLC PastSince Mar 5, 2023 Accepting new patients

Locations

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

10850 E Traverse Hwy
Ste 4400
Traverse City, MI 49684
Phone (231) 346-6800

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1861430225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-947-1112",
            "fax_number": "231-346-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-947-1112",
            "fax_number": "231-346-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 Frankfort Hwy",
            "address_purpose": "LOCATION",
            "city": "Benzonia",
            "state": "MI",
            "postal_code": "496169558",
            "country_code": "US",
            "telephone_number": "231-383-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 S State St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MI",
            "postal_code": "494551243",
            "country_code": "US",
            "telephone_number": "231-861-2130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 W Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496601128",
            "country_code": "US",
            "telephone_number": "231-398-2258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842349",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "fax_number": "231-346-6017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 12th St",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496602053",
            "country_code": "US",
            "telephone_number": "231-887-4801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W Beryl St",
            "address_purpose": "LOCATION",
            "city": "Scottville",
            "state": "MI",
            "postal_code": "494541323",
            "country_code": "US",
            "telephone_number": "231-233-6178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3954 Silver Lake Road",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "49684",
            "country_code": "US",
            "telephone_number": "231-642-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHLER",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103015",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106511",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036103015",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301106511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLGROUP TAX ID",
            "identifier": "05-0540914",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861430225",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103015",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GALL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.