Active NPI
Christopher J Kliethermes, M.D.
- Obstetrics & Gynecology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301119123
- Practice address
- 4201 Saint Antoine St Ste 4C
Detroit, MI 48201-2153 - Phone
- (313) 745-4525
- Fax
- (313) 745-4399
- NPI assigned
- May 9, 2011
- Last updated
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | 2011014912 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301119123 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St Ste 4C
Detroit, MI 48201-2153
Mailing address
6651 Main St Ste 1020
Dept. of OB/GYN
Houston, TX 77030-2351
Phone (832) 826-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011014912 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| University Physician Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
Ste 4C
Detroit, MI 48201
Phone (313) 993-8645
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba HCHD Community Medicine
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1912299058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 MAIN ST STE 1020",
"address_2": "DEPT. OF OB/GYN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302351",
"telephone_number": "832-826-7371",
"fax_number": "832-826-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 4C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-4525",
"fax_number": "313-745-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIETHERMES",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2011014912",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301119123",
"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 Jul 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.