KATHRYN HERRERA THEUT MD
NPI 1720654403
Internal Medicine in Canton, MI

Q: What is Kathryn Herrera Theut's NPI number?

The NPI number for Kathryn Herrera Theut is 1720654403. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Q: What is Kathryn Herrera Theut's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment

1051 N CANTON CENTER RD, CANTON, MI 48187(734) 844-5400 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Jun 2, 2021 (2 updates tracked since 2021).

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About Kathryn Herrera Theut Md NPPES

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

KATHRYN HERRERA THEUT MD (NPI 1720654403) is an individual internal medicine provider in Canton, Michigan, licensed in Michigan (4301514173) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of University Of Arizona College Of Medicine (2021).

NPPES Registry Identity

NPI1720654403

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKATHRYN HERRERA THEUTCredential: MD

Location Address1051 N CANTON CENTER RDCanton, MI 48187-5097

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 844-5400

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2021

Enumeration DateJune 2, 2021

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1720654403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301514173

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351047426 (MI)

1051 N CANTON CENTER RD, Canton, MI 48187

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Kathryn Herrera Theut 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.

PECOS PAC ID4183026271

PECOS Enrollment IDI20250911001928

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.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230046

Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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.

Other Providers at the Same Location NPPES 20

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

GENEVIEVE ALLEN MD

Student in an Organized Health Care Education/Training Program