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

KAITLIN GIRARD MD
NPI 1720782949
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Kaitlin Girard's NPI number?

The NPI number for Kaitlin Girard is 1720782949. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Kaitlin Girard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Girard was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since March 30, 2023PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-3400 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2026, Mar 30, 2023 (2 updates tracked since 2023).

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About Kaitlin Girard Md NPPES

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

KAITLIN GIRARD MD (NPI 1720782949) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waconia.

NPPES Registry Identity

NPI1720782949

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAITLIN GIRARDCredential: MD

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross RdDetroit, MI 48236-2148

Phone(313) 343-3400

Sole ProprietorYes

Enumeration DateMarch 30, 2023

Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1720782949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22101 MOROSS RD, Detroit, MI 48236

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Secondary Practice Location 1

Location 1500 S Maple StWaconia, MN 55387-1752 · Phone (952) 442-2191

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)