Individual provider Active NPI

Kathryn Rose Kloss, D.O.

  • Obstetrics & Gynecology Physician
  • Canton, MI
National Provider Identifier
1922236652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101018121 Issued in MI
Practice address
1600 S Canton Center Rd Ste 350
Canton, MI 48188-6277
Phone
(734) 398-0600
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101018121 MI Primary

Addresses

Primary practice location

1600 S Canton Center Rd Ste 350
Canton, MI 48188-6277

Mailing address

14555 Levan Rd Ste 310
Livonia, MI 48154-5085
Phone (734) 655-2989

Other practice location 1

3200 W Centre Ave
Portage, MI 49024-4889
Phone (269) 327-2211

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
I20131008000305 MI Practitioner - Obstetrics/Gynecology 5991939845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Specialty 1 LLCGroup PAC ID 6901206689, 67 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Suite 210
Livonia, MI 48152-1477
Phone (734) 655-8250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Specialty 1 LLC Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

1600 S Canton Center Rd
Ste 350
Canton, MI 48188
Phone (734) 398-0600

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

14555 Levan Rd
Ste 310
Livonia, MI 48154
Phone (734) 591-1171

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

32932 Warren Rd
Ste 100
Westland, MI 48185
Phone (734) 398-0600

Interoperability endpoints

  • Direct secure messaging: kkloss37101@direct.trinity-health.org

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 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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922236652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD STE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545085",
            "telephone_number": "734-655-2989",
            "fax_number": "734-655-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD STE 350",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886277",
            "telephone_number": "734-398-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 W Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490244889",
            "country_code": "US",
            "telephone_number": "269-327-2211",
            "fax_number": "269-327-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101018121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.