Individual provider Active NPI

Kevin G. Deighton, MD

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1942277397
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301051389 Issued in MI
Practice address
37595 7 Mile Rd
Suite 210
Livonia, MI 48152-1003
Phone
(734) 432-7581
Fax
(734) 853-5698
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301051389 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd
Suite 210
Livonia, MI 48152-1003

Mailing address

33523 8 Mile Rd
Ste M2
Livonia, MI 48152-4119
Phone (734) 432-7581

Other identifiers 1

IdentifierTypeStateIssuer
4619120MedicaidMI

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
I20040712000284 MI Practitioner - Family Practice 4385621713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

33523 8 Mile Rd
Suite M2
Livonia, MI 48152-4119
Phone (248) 824-2675

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Aug 2, 2018 Accepting new patients
Henry Ford Semi Medical Group Family Medicine CurrentSince Aug 2, 2018 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675

37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • Direct secure messaging: kdeighton59170@direct.hfhs.org

Organizations & group practices 3

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1942277397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33523 8 MILE RD",
            "address_2": "STE M2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524119",
            "telephone_number": "734-432-7581",
            "fax_number": "734-853-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD",
            "address_2": "SUITE 210",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "734-432-7581",
            "fax_number": "734-853-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGHTON",
        "first_name": "KEVIN",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4619120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.