Individual provider Active NPI

Matthew McKenna, MD

  • Family Medicine Physician
  • Hartland, MI
National Provider Identifier
1992225882
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301501546 Issued in MI
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

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629003106 MI Practitioner - Family Practice 4981973567 Reassigns benefits to 2 organizations

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
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

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 Hospital, Ann Arbor, MI, CCN 230156
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
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

LicenseStateTypeSpecialty
4301501546MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew McKenna, MD, PLLC Family Medicine CurrentSince Aug 21, 2025 Accepting new patients
VHS Physicians of Michigan CurrentSince Jun 15, 2020 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.