Active NPI
Matthew McKenna, MD
- Family Medicine Physician
- Hartland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301501546
- Practice address
- 2750 Bella Vita Dr
Hartland, MI 48353-0139 - Phone
- (810) 379-1080
- NPI assigned
- Jun 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301501546 | MI | Primary |
Addresses
Primary practice location
2750 Bella Vita Dr
Hartland, MI 48353-0139
Mailing address
303 Hanover LN
Brighton, MI 48114-5013
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
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11166 Highland Rd
Hartland, MI 48353-2702
Phone (810) 632-0092
2750 Bella Vita Dr
Hartland, MI 48353-0139
Phone (810) 379-1080
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- Huron Valley-Sinai Hospital
- Trinity Health Livingston Hospital
- Rehabilitation Institute of Michigan
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.26 of 100
- Quality
- 64.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301501546 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew McKenna, MD, PLLC | Family Medicine | Current | Accepting new patients |
| VHS Physicians of Michigan | Current | Accepting new patients |
Locations
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
11166 Highland Rd
Hartland, MI 48353
Phone (248) 455-0865
2750 Bella Vita Dr
Hartland, MI 48353
Phone (480) 888-6814
11166 Highland Rd
Ste A
Hartland, MI 48353
Phone (810) 632-0092
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.
-
- Family Medicine Physician
- Hartland, MI
- NPI 1932999489
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
- Rehabilitation Hospital
- Detroit, MI
- NPI 1871805150
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1992225882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HANOVER LN",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 BELLA VITA DR",
"city": "HARTLAND",
"state": "MI",
"postal_code": "483530139",
"telephone_number": "810-379-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301501546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- 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.