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: October 25, 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Kevin E Till Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin E Till DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Till, DPM

Podiatry

NPI 1467522110

4160 JOHN R ST STE 1012
Detroit, MI 48201

(313) 831-6442

✔ PECOS✔ Accepts Medicare6.9 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 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.

Is Kevin E Till Dpm PC enrolled in Medicare?

Yes. Kevin E Till Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kevin E Till Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kevin E Till Dpm PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kevin E Till Dpm PC accept?

Health plans from 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.