Individual provider Active NPI

Kimberly M Farrow, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1982930038
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R000000X Issued in MI
Practice address
10 Peterboro St
Detroit, MI 48201-2722
Phone
(313) 733-1302
Fax
(313) 309-1090
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207R000000X MI Primary

Addresses

Primary practice location

10 Peterboro St
Detroit, MI 48201-2722

Mailing address

6309 Mack Ave
Detroit East Health Services
Detroit, MI 48207
Phone (313) 921-4700

Other practice location 1

17950 Woodward Ave
Detroit, MI 48203-2260
Phone (313) 733-1302

Other practice location 2

3646 Mount Elliot
Detroit East Health Services
Detroit, MI 48207
Phone (313) 921-4700 ext. 3319

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
I20120919000329 MI Practitioner - Internal Medicine 5294983110 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Detroit Medical Consultants PCGroup PAC ID 3678854866, 13 clinicians

Practice addresses (Care Compare)

4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533

Hospital & facility affiliations

  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R000000XMIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Health Group PLLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Detroit Central City Community Mental Health, Inc CurrentSince Dec 15, 2017 Accepting new patients
Glutality Provider Group, P.a. Internal Medicine CurrentSince Apr 2, 2021 Accepting new patients
Mdslivenow PLLC Internal Medicine CurrentSince Jan 12, 2023 Accepting new patients

Locations

5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560

8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

17950 Woodward Ave
Detroit, MI 48203
Phone (313) 401-0929

20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

10 Peterboro St
Fl 1
Detroit, MI 48201

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

15450 Northline Rd
Southgate, MI 48195
Phone (313) 898-4390

Interoperability endpoints

  • Direct secure messaging: kimberly.farrow.1@23845.direct.athenahealth.com
  • Direct secure messaging: kfarrow825812@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central City HealthDetroit, MI, CCN C71022 Federally qualified health center Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Dec 1, 2023
Dec 1, 2023
Dec 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1982930038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 MACK AVE",
            "address_2": "DETROIT EAST HEALTH SERVICES",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-921-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "313-733-1302",
            "fax_number": "313-309-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17950 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482032260",
            "country_code": "US",
            "telephone_number": "313-733-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3646 Mount Elliot",
            "address_2": "Detroit East Health Services",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48207",
            "country_code": "US",
            "telephone_number": "313-921-4700 x3319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARROW",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "207R000000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.