DR. KIMBERLY ROSE COUGHLIN MD
NPI 1356791636
Surgery in Saint Clair Shores, MI
About Dr. Kimberly Rose Coughlin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY ROSE COUGHLIN MD (NPI 1356791636) is an individual surgery provider in Saint Clair Shores, Michigan, licensed in Michigan (4301506652) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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. Kimberly Rose Coughlin Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Coughlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 520 clinicians in this Medicare group
Richmond, MI 48062
- Reassigned Medicare billing, Michigan enrollment
- 30 clinicians in this Medicare group
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 8
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.
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, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Coughlin's NPI number?
The NPI number for Kimberly Coughlin is 1356791636. It was assigned to this individual provider in the NPPES registry on June 16, 2016.
Where is Kimberly Coughlin located?
Kimberly Coughlin practices at 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081. The listed phone number is (586) 774-8811.
What is Kimberly Coughlin's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kimberly Coughlin enrolled in Medicare?
Yes. Kimberly Coughlin 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 organizations bill Medicare for Kimberly Coughlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Coughlin reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Henry Ford Health River District Hospital (Richmond, MI). Each 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 Kimberly Coughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Coughlin accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kimberly Coughlin 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 Kimberly Coughlin affiliated with any hospitals?
According to CMS data, Kimberly Coughlin is affiliated with Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Coughlin was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Kimberly Rose Coughlin, MD · NPI 1356791636
Surgery physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since June 16, 2016.
## Identity
- **NPI:** 1356791636 (Entity type: Individual)
- **Enumerated:** June 16, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301506652 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 29000 LITTLE MACK AVE STE B, Saint Clair Shores, MI 48081-3018
- **Phone:** (586) 774-8811 · **Fax:** (586) 541-0199
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1376820605, Saint Clair Shores, MI); Henry Ford Health River District Hospital (NPI 1093823197, Richmond, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** June 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356791636) · Data from the CMS NPPES public registry.