Individual provider Active NPI

Kathryn Alexandra Hay, MD

  • Pediatrics Physician
  • Southgate, MI
National Provider Identifier
1962069013
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301506507 Issued in MI
Practice address
15777 Northline Rd
Southgate, MI 48195-2385
Phone
(734) 246-8100
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301506507 MI Primary
Pediatrics Physician 208000000X 1992228050 MI

Addresses

Primary practice location

15777 Northline Rd
Southgate, MI 48195-2385

Mailing address

26901 Beaumont Blvd Ste 3D
Ste. 3D
Southfield, MI 48033-3849

Other practice location 1

2900 Packard Rd
Ypsilanti, MI 48197-2060
Phone (734) 572-8686

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL EHR Health Information Exchange (HIE)
Direct Messaging Address khay1462282@epic00.shdirect.org

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
I20250805003955 MI Practitioner - Family Practice 2567970908 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1992228050MIMDPediatrics Physician
4301506507MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Pediatrics CurrentSince Aug 31, 2025 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Aug 31, 2025 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

15777 Northline Rd
Southgate, MI 48195
Phone (734) 246-8100

15777 Northline Rd
Ste 200
Southgate, MI 48195
Phone (734) 246-8100

Interoperability endpoints

  • Direct secure messaging: khay866092@direct.hfhs.org
  • Direct secure messaging: khay1462282@epic00.shdirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1962069013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "address_2": "STE. 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15777 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952385",
            "telephone_number": "734-246-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Packard Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481972060",
            "country_code": "US",
            "telephone_number": "734-572-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAY",
        "first_name": "KATHRYN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301506507",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "1992228050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Use of EHR to share patient data when needed",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5301 McAuley Dr. Ann Arbor",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khay1462282@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "15777 Northline Rd",
            "city": "Southgate",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481952385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.