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DR. JOSEPH W KAISER D.O.
NPI 1295730471
Internal Medicine - Nephrology in Clinton Twp, MI

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
15520 19 MILE RD, STE 480, CLINTON TWP, MI 48038(586) 228-1010(586) 228-8570 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph W Kaiser D.o. NPPES

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

DR. JOSEPH W KAISER D.O. (NPI 1295730471) is an individual nephrology provider in Clinton Twp, Michigan, licensed in Michigan (5101012133) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1993).

NPPES Registry Identity

NPI1295730471
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOSEPH W KAISERCredential: D.O.
Location Address15520 19 MILE RD, STE 480Clinton Twp, MI 48038-6332
Mailing Address15520 19 Mile Rd, Ste 480Clinton Twp, MI 48038-6332 · (586) 228-1010 · Fax (586) 228-8570
Phone(586) 228-1010
Fax(586) 228-8570
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1993
Enumeration DateJune 15, 2005
Last NPPES UpdateDecember 10, 2012
✔ NPI 1295730471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 5101012133
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
15520 19 MILE RD, Clinton Twp, MI 48038
Open in Google Maps ↗

Other Identifiers 9

Medicaid4181933MI
Other1155004328MI · Blue Cross/shield Ind Pin
Other382864737MI · Ein
Medicare ID-Type UnspecifiedN20630002MI
Medicare UPING85831MI
Medicaid4262933MI
Other0E07884MI · Blue Cross/shield Of Mich
Other383522237MI · Ein
Medicare ID-Type UnspecifiedE07884007MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph W Kaiser D.o. 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.

PECOS PAC ID6901864008
PECOS Enrollment IDI20101115001253
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Kaiser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Macomb Internal Medicine PC
Same address
Internal Medicine
15520 19 MILE RD, SUITE 480
Clinton Twp, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1639266885 (586) 228-1010

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

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
596 services156 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
231 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services64 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
98 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
98 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
93 services44 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%104 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,473 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%836 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%473 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%642 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%642 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
30%642 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 422 patients
0%422 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims494 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers11 claims1,140 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers13 claims13 services$18.94 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims20 services$11.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

JORDAN HELTON ATC
Specialist/Technologist (Athletic Trainer)
15520 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 416-2000
EMILY GOZDZIALSKI PTA
Physical Therapy Assistant
15520 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 416-2000
DR. HOWARD B KERWIN DO
Internal Medicine
15520 19 MILE RD, STE 480
CLINTON TWP, MI 48038
Macomb County (586) 228-1010
KELSEY VANDERLAAN DPT
Physical Therapist
15520 19 MILE RD, SUITE 450
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 416-2000
DR. ABBAS BAGHDADI DPM
Podiatrist (Foot Surgery)
15520 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 228-6200
DR. LAFI SABA KHALIL MD
Orthopaedic Surgery
15520 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 228-6200
DR. SANJAY A VORA D.O.
Internal Medicine
15520 19 MILE RD, SUITE 480
CLINTON TWP, MI 48038
Macomb County (586) 228-1010
LINDA LU REESE KOSAL D.O.
Internal Medicine
15520 19 MILE RD, SUITE 480
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 228-1010

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 Joseph Kaiser's NPI number?

The NPI number for Joseph Kaiser is 1295730471. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Joseph Kaiser located?

Joseph Kaiser practices at 15520 19 Mile Rd Ste 480, Clinton Twp, MI 48038. The listed phone number is (586) 228-1010.

What is Joseph Kaiser's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Joseph Kaiser enrolled in Medicare?

Yes. Joseph Kaiser 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.

Which organization bills Medicare for Joseph Kaiser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Kaiser reassigns Medicare benefits to Macomb Internal Medicine PC (Clinton Twp, MI). The 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 Joseph Kaiser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Kaiser accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Joseph Kaiser 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.

Is Joseph Kaiser affiliated with any hospitals?

According to CMS data, Joseph Kaiser is affiliated with Henry Ford Macomb Hospital and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Joseph Kaiser was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.