KENNETH GRANT MASTERS DO
NPI 1295355063
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Kenneth Grant Masters Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH GRANT MASTERS DO (NPI 1295355063) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and maintains a secondary practice location in Taylor.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Grant Masters Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sinai-Grace Hospital
Acute Care Hospitals · Detroit, MIHarper University Hospital
Acute Care Hospitals · Detroit, MIDetroit Receiving Hospital
Acute Care Hospitals · Detroit, MIKarmanos Cancer Center
Acute Care Hospitals · Detroit, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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 Kenneth Masters's NPI number?
The NPI number for Kenneth Masters is 1295355063. It was assigned to this individual provider in the NPPES registry on April 22, 2020.
Where is Kenneth Masters located?
Kenneth Masters practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-3000.
What is Kenneth Masters's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenneth Masters enrolled in Medicare?
Yes. Kenneth Masters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kenneth Masters affiliated with any hospitals?
According to CMS data, Kenneth Masters is affiliated with Sinai-Grace Hospital, Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.
When was this NPI record last updated?
The NPPES record for Kenneth Masters was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kenneth Grant Masters, DO · NPI 1295355063
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 22, 2020.
## Identity
- **NPI:** 1295355063 (Entity type: Individual)
- **Enumerated:** April 22, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 SAINT ANTOINE ST, Detroit, MI 48201-2153
- **Phone:** (313) 745-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2020
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295355063) · Data from the CMS NPPES public registry.