MR. KENNETH WAYNE GAHRY PA-C, MS
NPI 1922094689
Physician Assistant - Medical in Royal Oak, MI

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
5130 COOLIDGE HWY, ROYAL OAK, MI 48073(248) 288-9500(248) 288-0044 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Wayne Gahry Pa-c, Ms NPPES

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

MR. KENNETH WAYNE GAHRY PA-C, MS (NPI 1922094689) is an individual medical provider in Royal Oak, Michigan, licensed in Michigan (5601004065) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1922094689
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH WAYNE GAHRYCredential: PA-C, MS
Location Address5130 COOLIDGE HWYRoyal Oak, MI 48073-1001
Mailing Address3669 Crooks Rd, Ste 17Royal Oak, MI 48073-2458 · (248) 549-1837 · Fax (248) 549-0044
Fax(248) 288-0044
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJanuary 4, 2010
NPI 1922094689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601004065
5130 COOLIDGE HWY, Royal Oak, MI 48073

Other Identifiers 2

Medicare UPINQ06289
Medicare ID-Type UnspecifiedN84070001

Accepted 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

Mr. Kenneth Wayne Gahry Pa-c, Ms 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 ID9931090339
PECOS Enrollment IDI20040324000309
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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%49 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Nurse Practitioner (Family)
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Clinic/Center
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Family Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Internal Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
5130 COOLIDGE HWY, SUITE 120
ROYAL OAK, MI 48073
Internal Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073

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 Gahry's NPI number?

The NPI number for Kenneth Gahry is 1922094689. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Kenneth Gahry located?

Kenneth Gahry practices at 5130 Coolidge Hwy, Royal Oak, MI 48073. The listed phone number is (248) 288-9500.

What is Kenneth Gahry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Gahry enrolled in Medicare?

Yes. Kenneth Gahry 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.

What insurance does Kenneth Gahry accept?

Health plans from McLaren Health Plan Community, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Kenneth Gahry 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 Gahry was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.