Individual provider Active NPI

Kenneth W Verbos II, MD

  • Family Medicine Physician
  • Petoskey, MI
National Provider Identifier
1992386940
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301511926 Issued in MI
Practice address
1890 US Highway 131 Unit 4
Petoskey, MI 49770-8344
Phone
(231) 487-2000
Fax
(231) 487-2039
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020031547 MO
Family Medicine Physician 207Q00000X 4351049233 MI
Family Medicine Physician 207Q00000X 4301511926 MI Primary

Addresses

Primary practice location

1890 US Highway 131 Unit 4
Petoskey, MI 49770-8344

Mailing address

560 W Mitchell St Ste C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

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
I20250707001620 MI Practitioner - Family Practice 4688053507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians

Practice addresses (Care Compare)

1890 US Hwy 131
Unit 4
Petoskey, MI 49770-8344
Phone (231) 487-2000

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Cheboygan, MI, CCN 237160
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511926MIMDFamily Medicine Physician
2020031547MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Northern Michigan CurrentSince Jun 18, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Northern Michigan Family Medicine CurrentSince Jun 18, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Jul 8, 2025 Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Jul 8, 2025 Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

560 W Mitchell St
Ste C70
Petoskey, MI 49770
Phone (231) 487-7200

1890 US Highway 131
Unit 4
Petoskey, MI 49770
Phone (231) 348-2828

Organizations & group practices 5

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 6

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1992386940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST STE C70",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-7200",
            "fax_number": "231-487-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 US HIGHWAY 131 UNIT 4",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708344",
            "telephone_number": "231-487-2000",
            "fax_number": "231-487-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBOS",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020031547",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351049233",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301511926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.