Active NPI
Kathryn Rose Kloss, D.O.
- Obstetrics & Gynecology Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101018121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Olma Specialty 1 LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| Iha Olma Specialty 1 LLC | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Livonia, MI
- NPI 1891371118
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1528145554
-
- Surgical Critical Care Physician
- Livonia, MI
- NPI 1114667144
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.