Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCKENZIE CHAMBERLAIN MD
NPI 1316649882
Family Medicine - Sports Medicine in Detroit, MI

Q: What is Mckenzie Chamberlain's NPI number?

The NPI number for Mckenzie Chamberlain is 1316649882. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Mckenzie Chamberlain's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since March 20, 2023PECOS Enrolled

3370 E JEFFERSON AVE, DETROIT, MI 48207(313) 656-1600 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Mar 20, 2023 (2 updates tracked since 2023).

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About Mckenzie Chamberlain Md NPPES

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

MCKENZIE CHAMBERLAIN MD (NPI 1316649882) is an individual sports medicine provider in Detroit, Michigan, licensed in Michigan (4301518108) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of University Of Michigan Medical School (2023).

NPPES Registry Identity

NPI1316649882

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameMCKENZIE CHAMBERLAINCredential: MD

Location Address3370 E JEFFERSON AVEDetroit, MI 48207-4236

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608 · (586) 777-2050 · Fax (586) 777-2189

Phone(313) 656-1600

Sole ProprietorYes

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1316649882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MI · 4301518108

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301518108 (MI)

3370 E JEFFERSON AVE, Detroit, MI 48207

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Chamberlain Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870950256

PECOS Enrollment IDI20260701001934

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.

Hospital Affiliations CMS Care Compare

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48207 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 9

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

SARAH KOLANDER PHARMD

Pharmacist (Ambulatory Care)