HARRY A KEZELIAN JR D P M P C
NPI 1952455610
Podiatrist in Detroit, MI

Active since January 22, 2007
4160 JOHN R ST, SUITE 1012, DETROIT, MI 48201(313) 831-6442 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Harry A Kezelian Jr D P M P C NPPES

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

HARRY A KEZELIAN JR D P M P C (NPI 1952455610) is a healthcare organization registered as a podiatrist in Detroit, Michigan and active in the NPI registry since January 2007. The organization lists Harry Alger Kezelian, President, as its authorized official.

NPPES Registry Identity

NPI1952455610
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameHARRY A KEZELIAN JR D P M P C
Location Address4160 JOHN R ST, SUITE 1012Detroit, MI 48201-2020
Mailing Address29877 Telegraph Rd, Suite 200Southfield, MI 48034-1332 · (248) 354-0057 · Fax (248) 723-8807
Organization SubpartNo
Authorized OfficialHarry Alger KezelianPresident · (248) 354-0057
Enumeration DateJanuary 22, 2007
Last NPPES UpdateOctober 21, 2014
✔ NPI 1952455610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · 5901001098
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4160 JOHN R ST, Detroit, MI 48201

Other Identifiers 4

Medicaid3113830MI
Medicare NSC5051600002MI
Medicare PIN0M09610MI
Medicare UPINT34329MI

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 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)

Harry A Kezelian Jr D P M P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Harry A Kezelian Jr D P M P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1629083035
29877 TELEGRAPH RD STE 200
Southfield, MI 48034
(248) 354-0057
✔ PECOS✔ Accepts Medicare16 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 Harry A Kezelian Jr D P M P C's NPI number?

The NPI number for Harry A Kezelian Jr D P M P C is 1952455610. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Harry A Kezelian Jr D P M P C located?

Harry A Kezelian Jr D P M P C is located at 4160 John R St Suite 1012, Detroit, MI 48201. The listed phone number is (313) 831-6442.

What is Harry A Kezelian Jr D P M P C's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Harry A Kezelian Jr D P M P C enrolled in Medicare?

Yes. Harry A Kezelian Jr D P M P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harry A Kezelian Jr D P M P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Harry A Kezelian Jr D P M P C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Harry A Kezelian Jr D P M P C 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 list Harry A Kezelian Jr D P M P C 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 Harry A Kezelian Jr D P M P C was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.