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DR. KENZIE DAVID KAO M.D.
NPI 1215772900
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 26, 2024PECOS Enrolled
3990 JOHN ROAD, DETROIT, MI 48201(313) 745-6035 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 20, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Dr. Kenzie David Kao M.d. NPPES

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

DR. KENZIE DAVID KAO M.D. (NPI 1215772900) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215772900
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KENZIE DAVID KAOCredential: M.D.
Location Address3990 JOHN ROADDetroit, MI 48201
Mailing Address60 W Ferry Avenue, Unit 3bDetroit, MI 48202 · (571) 699-5886
Phone(313) 745-6035
Sole ProprietorNo
Enumeration DateJune 26, 2024
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
✔ NPI 1215772900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3990 JOHN ROAD, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenzie David Kao M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kenzie Kao's NPI number?

The NPI number for Kenzie Kao is 1215772900. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Kenzie Kao located?

Kenzie Kao practices at 3990 John Road, Detroit, MI 48201. The listed phone number is (313) 745-6035.

What is Kenzie Kao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenzie Kao enrolled in Medicare?

Yes. Kenzie Kao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenzie Kao was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.