Active NPI
Jeffrey J Kane, M.D
- Internal Medicine Physician
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301088461
- Practice address
- 15777 Northline Rd Ste 202
Southgate, MI 48195-2354 - Phone
- (734) 246-8100
- NPI assigned
- Mar 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301088461 | MI | |
| Internal Medicine Physician | 207R00000X | 4301088461 | MI | Primary |
Addresses
Primary practice location
15777 Northline Rd Ste 202
Southgate, MI 48195-2354
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1848
Other practice location 1
4700 Schaefer Rd Ste 240
Dearborn, MI 48126-3743
Phone (313) 827-0480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkane116059@direct.beaumont.edu |
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
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15777 Northline Rd
Southgate, MI 48195-2354
Phone (734) 246-8100
201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065
4700 Schaefer Rd
Dearborn, MI 48126-3743
Hospital & facility affiliations
- Beaumont Home Health
- Prime Homecare Agency
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Taylor
- Corewell Health Trenton Hospital
- Beaumont Hospital Royal Oak
- Corewell Health Wayne Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088461 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Family Medicine | Current | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
4700 Schaefer Rd
Ste 240
Dearborn, MI 48126
Phone (313) 827-0480
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
15777 Northline Rd
Ste 202
Southgate, MI 48195
Phone (734) 246-8100
Organizations & group practices 2
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
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- Home Health Agency
- Bloomfield, MI
- NPI 1851560890
-
- 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": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1962674341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1848",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15777 NORTHLINE RD STE 202",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952354",
"telephone_number": "734-246-8100"
}
],
"practiceLocations": [
{
"address_1": "4700 Schaefer Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481263743",
"country_code": "US",
"telephone_number": "313-827-0480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-26",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301088461",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301088461",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkane116059@direct.beaumont.edu",
"affiliation": "N",
"address_1": "15777 Northline Rd Ste 202",
"city": "Southgate",
"state": "MI",
"country_code": "US",
"postal_code": "481952354",
"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 Jul 6, 2024; 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.