Individual provider Active NPI

Jeffrey Kandt II, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Clarkston, MI
National Provider Identifier
1912312455
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301117501 Issued in MI
Practice address
6815 Dixie Hwy Ste 1
Clarkston, MI 48346-2092
Phone
(248) 384-8350
Fax
(248) 384-8351
NPI assigned
Jun 24, 2014
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301117501 MI Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301117501 MI

Addresses

Primary practice location

6815 Dixie Hwy Ste 1
Clarkston, MI 48346-2092

Mailing address

5701 Bow Pointe Dr Ste 100
Clarkston, MI 48346-3199
Phone (248) 625-2621

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
I20190710002734 MI Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6800148651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6815 Dixie Hwy
Suite 1
Clarkston, MI 48346-2092
Phone (248) 384-8350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Jul 15, 2019 Accepting new patients
McLaren Community Based Primary Care Group Internal Medicine CurrentSince Dec 31, 2025 Accepting new patients
McLaren Community Based Primary Care Group CurrentSince Dec 31, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 15, 2019 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621

5701 Bow Pointe Dr
Ste 205
Clarkston, MI 48346
Phone (248) 625-5550

6815 Dixie Hwy
Ste 1
Clarkston, MI 48346
Phone (248) 384-8350

6815 Dixie Hwy
Ste 4
Clarkston, MI 48346
Phone (248) 625-3100

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Interoperability endpoints

  • Direct secure messaging: jeffrey.kandt.1@3928.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1912312455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463199",
            "telephone_number": "248-625-2621",
            "fax_number": "248-625-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 DIXIE HWY STE 1",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462092",
            "telephone_number": "248-384-8350",
            "fax_number": "248-384-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDT",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301117501",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301117501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.