KEVIN E TILL DPM PC
NPI 1164592820
Podiatrist in Detroit, MI

Q: What is Kevin E Till Dpm PC's NPI number?

The NPI number for Kevin E Till Dpm PC is 1164592820. It was assigned to this organization in the NPPES registry on November 9, 2006.

Q: What is Kevin E Till Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since November 09, 2006

4160 JOHN R ST, STE 1012, DETROIT, MI 48201(313) 831-6442(313) 831-6513 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin E Till Dpm Pc NPPES

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

KEVIN E TILL DPM PC (NPI 1164592820) is a healthcare organization registered as a podiatrist in Detroit, Michigan and active in the NPI registry since November 2006. The organization lists Kevin E Till, Physician, as its authorized official.

NPPES Registry Identity

NPI1164592820

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameKEVIN E TILL DPM PC

Location Address4160 JOHN R ST, STE 1012Detroit, MI 48201-2020

Mailing Address4160 John R St, Ste 1012Detroit, MI 48201-2020 · (313) 831-6442 · Fax (313) 831-6513

Phone(313) 831-6442

Fax(313) 831-6513

Organization SubpartNo

Authorized OfficialKevin E TillPhysician · (313) 831-6442

Enumeration DateNovember 9, 2006

Last NPPES UpdateDecember 29, 2010

✔ NPI 1164592820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in MI · 5901001067

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

4160 JOHN R ST, Detroit, MI 48201

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Other Identifiers 3

Medicare UPINT97222MI

Medicare PIN5825198MI

Medicaid133113886MI

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 ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHRAF ELSDEEK MOHAMED M.D.

Psychiatry & Neurology (Neurology)

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 833-8467

CHARLES EDWARD LUCAS MD

Surgery

4160 JOHN R ST, SUITE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. JOYA A GANGULY MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4160 JOHN R ST, SUITE 510
DETROIT, MI 48201

Wayne County (313) 993-7777

YOUNG HO SOHN MD PLLC

Specialist

4160 JOHN R ST, SUITE 515
DETROIT, MI 48201

Wayne County (313) 832-1440

KARIN CALVITI

Audiologist

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 966-9471

MICHELLE BASTIEN CNP RN BSN MSN OCN

Nurse Practitioner

4160 JOHN R ST, SUITE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

ANNA MARIE LEDGERWOOD MD

Surgery

4160 JOHN R ST, STE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. PRAVIT CADNAPAPHORNCHAI MD

Internal Medicine (Nephrology)

4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

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 Kevin E Till Dpm PC's NPI number?

The NPI number for Kevin E Till Dpm PC is 1164592820. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Kevin E Till Dpm PC located?

Kevin E Till Dpm PC is located at 4160 John R St Ste 1012, Detroit, MI 48201. The listed phone number is (313) 831-6442.

What is Kevin E Till Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Kevin E Till Dpm PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kevin E Till Dpm PC 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 Kevin E Till Dpm PC was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.