Active NPI
Kathryn Alexandra Hay, MD
- Pediatrics Physician
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301506507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1992228050 | MI | MD | Pediatrics Physician |
| 4301506507 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Pediatrics | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current | 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
- khay866092@direct.hfhs.org
- 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.
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.