Individual provider Active NPI

Jessica Ann Kado, M.D.

  • Dermatology Physician
  • West Bloomfield, MI
National Provider Identifier
1962663039
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K300403067942 Issued in MI
Practice address
5364 W Doherty St
West Bloomfield, MI 48323-2708
Phone
(313) 877-7777
NPI assigned
Jun 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X K300403067942 MI Primary

Addresses

Primary practice location

5364 W Doherty St
West Bloomfield, MI 48323-2708

Mailing address

5364 W Doherty St
West Bloomfield, MI 48323-2708
Phone (313) 877-7777

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
I20110908002039 MI Practitioner - Dermatology 1658541289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

2550 S Telegraph Rd
Suite 104
Bloomfield Hills, MI 48302-0951
Phone (248) 972-5143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions142
Removal of skin cancer19
Skin biopsy47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K300403067942MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians CurrentSince Jan 1, 2012 Accepting new patients
Michigan Healthcare Professionals PC Dermatology Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Mar 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Mar 1, 2023 Accepting new patients
University Pediatricians CurrentSince Jan 1, 2012 Accepting new patients
Tria Health, PLLC PastSince Aug 12, 2020 Accepting new patients

Locations

2550 S Telegraph Rd
Ste 104
Bloomfield Township, MI 48302
Phone (248) 972-5143

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

Interoperability endpoints

  • Direct secure messaging: jkado1133930@direct.hfhs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jessicakado@kadoclinic.directglo.com

Organizations & group practices 6

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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1962663039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5364 W DOHERTY ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232708",
            "telephone_number": "313-877-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5364 W DOHERTY ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232708",
            "telephone_number": "313-877-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "K300403067942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.