Active NPI
Kimberly M Farrow, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 207R000000X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533
Hospital & facility affiliations
- Sinai-Grace Hospital
- Detroit Receiving Hospital
- Harper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207R000000X | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Health Group PLLC | Internal Medicine | Current | Accepting new patients |
| Detroit Central City Community Mental Health, Inc | Current | Accepting new patients | |
| Glutality Provider Group, P.a. | Internal Medicine | Current | Accepting new patients |
| Mdslivenow PLLC | Internal Medicine | Current | 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
- kimberly.farrow.1@23845.direct.athenahealth.com
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Central City Health | 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.
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1285043406
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1598502817
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1336995133
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1609229848
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1215688965
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1902794571
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1447271788
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1285043406
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.