NPIMap

Individual provider Active NPI

Patrick G Kerr, P.A.C.

  • Medical Physician Assistant
  • Taylor, MI
National Provider Identifier
1891757050
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601002476 Issued in MI
Practice address
20117 Eureka Rd
Taylor, MI 48180-5320
Phone
(734) 287-3415
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002476 MI Primary
Physician Assistant 363A00000X 5601002476 MI

Addresses

Primary practice location

20117 Eureka Rd
Taylor, MI 48180-5320

Mailing address

15357 Pebblebrook Dr
Belleville, MI 48111-5235
Phone (734) 718-1788

Other identifiers 1

IdentifierTypeStateIssuer
12148788OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkerr53220@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000398 MI Practitioner - Physician Assistant 9032391966 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vip Home Physicians PLLCGroup PAC ID 7416483813, 5 clinicians
SMS Medical Group PLLCGroup PAC ID 3779970991, 4 clinicians
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

17425 Mack Ave
Detroit, MI 48224-1437
Phone (313) 499-8991

18254 Livernois Ave
Detroit, MI 48221-4214
Phone (734) 427-7200

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Home Physicians PLLC CurrentSince Feb 9, 2026 Accepting new patients
First Choice Medical Group PLLC Past Accepting new patients
William Beaumont Hospital Physician Assistant Past Accepting new patients

Locations

17425 Mack Ave
Detroit, MI 48224
Phone (313) 499-8991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patrick.kerr.2@20203.direct.athenahealth.com
  • Direct secure messaging: pkerr1241275@epic00.shdirect.org

Organizations & group practices 10

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 3

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1891757050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15357 PEBBLEBROOK DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481115235",
            "telephone_number": "734-718-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20117 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805320",
            "telephone_number": "734-287-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "PATRICK",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002476",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002476",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12148788",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkerr53220@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "20117 Eureka Rd",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481805320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.