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SHORES OB/GYN
NPI 1164535886
Obstetrics & Gynecology in Saint Clair Shores, MI

Active since August 16, 2006
19714 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 779-9400(586) 779-8949 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shores Ob/gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORES OB/GYN (NPI 1164535886) is a healthcare organization registered as an obstetrics & gynecology in Saint Clair Shores, Michigan and active in the NPI registry since August 2006. The organization lists Constantine Raphtis, Member, as its authorized official.

NPPES Registry Identity

NPI1164535886
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC
Location Address19714 E 10 MILE RDSaint Clair Shores, MI 48080-1064
Mailing Address19714 Ten Mile RoadSt Clair Shores, MI 48080 · (586) 779-9400 · Fax (586) 779-8949
Phone(586) 779-9400
Fax(586) 779-8949
Organization SubpartNo
Authorized OfficialConstantine RaphtisMember · (586) 779-9400
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164535886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
19714 E 10 MILE RD, Saint Clair Shores, MI 48080
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Other Names 1

Doing Business AsShores Ob/gyn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shores Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Shores Ob/Gyn, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kami Kveton, M.D.
Obstetrics/Gynecology
NPI 1982697454
19714 E 10 MILE RD
St Clair Shores, MI 48080
(586) 779-9400
✔ PECOS✔ Accepts MedicareSame address
Anne Mccarren, M.D.
Obstetrics/Gynecology
NPI 1801867064
19714 E 10 MILE RD
Saint Clair Shores, MI 48080
(586) 779-9400
✔ PECOS✔ Accepts MedicareSame address
Constantine Raphtis, D.O.
Obstetrics/Gynecology
NPI 1558354159
19714 E 10 MILE RD
St Clair Shores, MI 48080
(586) 779-9400
✔ PECOS✔ Accepts MedicareSame address
Wontika Smith, M.D.
Obstetrics/Gynecology
NPI 1427125897
19714 E 10 MILE RD
Saint Clair Shores, MI 48080
(586) 779-9400
✔ PECOSSame address
Jennifer Kuzel, MD
Obstetrics/Gynecology
NPI 1902895014
21000 E 12 MILE RD 102
St Clair Shores, MI 48081
(586) 447-5100
✔ PECOS2.1 mi
Michelle Konieczny, M.D.
Obstetrics/Gynecology
NPI 1609869015
27070 HOOVER RD
Warren, MI 48093
(586) 427-7370
✔ PECOS4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Clair Shores Obstetrics And Gynecolgy, Plc's NPI number?

The NPI number for St Clair Shores Obstetrics And Gynecolgy, Plc is 1164535886. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Shores Ob/Gyn.

Where is St Clair Shores Obstetrics And Gynecolgy, Plc located?

St Clair Shores Obstetrics And Gynecolgy, Plc is located at 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 779-9400.

What is St Clair Shores Obstetrics And Gynecolgy, Plc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is St Clair Shores Obstetrics And Gynecolgy, Plc enrolled in Medicare?

Yes. St Clair Shores Obstetrics And Gynecolgy, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Clair Shores Obstetrics And Gynecolgy, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to St Clair Shores Obstetrics And Gynecolgy, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Clair Shores Obstetrics And Gynecolgy, Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St Clair Shores Obstetrics And Gynecolgy, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Clair Shores Obstetrics And Gynecolgy, Plc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.