Active NPI
Kyle Anderson, M.D.
- Orthopaedic Surgery Physician
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301074015
- Practice address
- 32270 Telegraph Rd Ste 220B
Bingham Farms, MI 48025-2456 - Phone
- (248) 480-9080
- Fax
- (248) 480-9081
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301074015 | MI | Primary |
Addresses
Primary practice location
32270 Telegraph Rd Ste 220B
Bingham Farms, MI 48025-2456
Mailing address
32270 Telegraph Rd Ste 220
Bingham Farms, MI 48025-2405
Phone (248) 480-9080
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA074015 | Other | CHAMPUS-CHAMPUS | |
| 0767220001 | Other | MI | ADMINISTAR FEDERAL |
| 0F31114 | Other | MI | BCBS |
| 0F33583 | Other | MI | BCBS DME |
| 411776310 | Medicaid | MI | |
| 700H262250 | Other | BLUE CROSS-BLUE CROSS | |
| KA074015 | Other | COMMERCIAL-COMMERCIAL NUMBER |
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
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32270 Telegraph Rd
Suite 220B
Bingham Farms, MI 48025-2405
Phone (248) 480-9080
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
Hospital & facility affiliations
- Better You Home Health, LLC
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Henry Ford Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.95 of 100
- Quality
- 34.99
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 67 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Botsford General Hospital | Past | Accepting new patients | |
| Southfield Rehabilitation Company | Past | Accepting new patients |
Interoperability endpoints
- kanderson9001@direct.hfhs.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.
-
- Orthopaedic Surgery Physician
- Bingham Farms, MI
- NPI 1225455991
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
- Urgent Care Clinic/Center
- Redford, MI
- NPI 1831402056
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dearborn, MI
- NPI 1427681246
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1952383176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32270 TELEGRAPH RD STE 220",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252405",
"telephone_number": "248-480-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32270 TELEGRAPH RD STE 220B",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252456",
"telephone_number": "248-480-9080",
"fax_number": "248-480-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KYLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301074015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "KA074015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "0767220001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0F31114",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME",
"identifier": "0F33583",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411776310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "KA074015",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.
- 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.