KENNETH L GWINN MD PC
NPI 1629163217
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Shelby Township, MI

Active since October 03, 2006
48681 HAYES RD, SHELBY TOWNSHIP, MI 48315(586) 799-1212 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth L Gwinn Md Pc NPPES

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

KENNETH L GWINN MD PC (NPI 1629163217) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Shelby Township, Michigan and active in the NPI registry since October 2006. The organization lists Kenneth L Gwinn, President, as its authorized official.

NPPES Registry Identity

NPI1629163217
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameKENNETH L GWINN MD PC
Location Address48681 HAYES RDShelby Township, MI 48315
Mailing Address1976 Momentum PlChicago, IL 60689-5319 · (586) 799-1212
Organization SubpartNo
Authorized OfficialKenneth L GwinnPresident · (586) 799-1212
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 2, 2008
✔ NPI 1629163217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MI · KG050974
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
48681 HAYES RD, Shelby Township, MI 48315

Other Identifiers 9

Other131442MI · Preferred Choices
Other0405011981MI · Bcbs Of Michigan
Other102795880MI · Great Lakes Health Plan
Other258611MI · Omnicare
Medicare UPINE95575MI
Other000000009639MI · Cape Health
OtherC7134MI · Mcare Hmo
Medicare ID-Type Unspecified0P08960001MI
Medicaid12795880MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth L Gwinn Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Kenneth L Gwinn MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Otolaryngology
NPI 1003910118
48681 HAYES RD
Shelby Township, MI 48315
(586) 799-1212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245802040
15959 HALL RD STE LL104
Macomb, MI 48044
(313) 702-1911
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1235877531
15959 HALL RD STE LL104
Macomb, MI 48044
(586) 799-1212
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1386216257
15959 HALL RD STE LL104
Macomb, MI 48044
(586) 799-1212
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1861197956
15959 HALL RD STE LL104
Macomb, MI 48044
(586) 799-1212
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1144694290
1135 W UNIVERSITY DR STE 425
Rochester, MI 48307
(248) 650-5861
✔ PECOS9.1 mi
Qualified Audiologist
NPI 1386050979
29275 NORTHWESTERN HWY SUITE 208
Southfield, MI 48034
(248) 356-7772
✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1609061506
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-1755
✔ PECOS✔ Accepts Medicare21 mi
Qualified Audiologist
NPI 1689794265
2246 N MONROE ST
Monroe, MI 48162
(734) 243-0220
✔ Accepts Medicare53 mi

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

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 L Gwinn MD PC's NPI number?

The NPI number for Kenneth L Gwinn MD PC is 1629163217. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Kenneth L Gwinn MD PC located?

Kenneth L Gwinn MD PC is located at 48681 Hayes Rd, Shelby Township, MI 48315. The listed phone number is (586) 799-1212.

What is Kenneth L Gwinn MD PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Kenneth L Gwinn MD PC enrolled in Medicare?

Yes. Kenneth L Gwinn MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth L Gwinn MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Kenneth L Gwinn MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Qualified Audiologist (2) and Otolaryngology (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kenneth L Gwinn MD PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kenneth L Gwinn MD PC 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.

When was this NPI record last updated?

The NPPES record for Kenneth L Gwinn MD PC was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.