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KATHLEEN ESTRADA M.D.
NPI 1982137188
Internal Medicine - Endocrinology, Diabetes & Metabolism in Detroit, MI

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
2799 WEST GRAND BOULEVARD, MEDICAL EDUCATION DEPARTMENT HENRY FORD HOSPITAL, DETROIT, MI 48202(313) 916-1888 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Estrada M.d. NPPES

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

KATHLEEN ESTRADA M.D. (NPI 1982137188) is an individual endocrinology, diabetes & metabolism provider in Detroit, Michigan, licensed in Michigan (4301507379) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Michigan State University College Of Human Medicine (2017).

NPPES Registry Identity

NPI1982137188
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKATHLEEN ESTRADACredential: M.D.
Location Address2799 WEST GRAND BOULEVARD, MEDICAL EDUCATION DEPARTMENT HENRY FORD HOSPITALDetroit, MI 48202
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608 · (313) 916-9100
Phone(313) 916-1888
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1982137188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MI · 4301507379
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301507379 (MI)
2799 WEST GRAND BOULEVARD, Detroit, MI 48202
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Estrada M.d. 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 ID9436425311
PECOS Enrollment IDI20220629002427
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 Billing Reassignment

Medicare enrollment records show Kathleen Estrada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
Same address
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
194 services159 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
41 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers72 claims78 services$180.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DR. JAMES HARVEY PAXTON M.D.
Emergency Medicine
2799 WEST GRAND BOULEVARD, HENRY FORD HOSPITAL
DETROIT, MI 48202
Wayne County (313) 916-3056
MRS. BLANKA JUCHELKA CRNA
Nurse Anesthetist, Certified Registered
2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-8634
KEMAL BAHCHELI MD
Student in an Organized Health Care Education/Training Program
2799 WEST GRAND BOULEVARD, MEDICAL EDUCATION DEPARTMENT
DETROIT, MI 48202
Wayne County (313) 874-5378
DR. LINDSAY F PETERSEN M.D.
Surgery (Surgical Oncology)
2799 WEST GRAND BOULEVARD, CFP 369
DETROIT, MI 48202
Wayne County (313) 399-4967
DR. KAZUHIRO TAKAHASHI M.D., PH.D.
Transplant Surgery
2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 986-8788
DR. MAXIME MADHERE M.D.
Anesthesiology
2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-8234
DR. IBIDOLA OWADUGE M.D.
Anesthesiology
2799 WEST GRAND BOULEVARD, HENRY FORD HOSPITAL
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. NILUKA A WICKRAMARATNE M.D.
Surgery
2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1601

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 Kathleen Estrada's NPI number?

The NPI number for Kathleen Estrada is 1982137188. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Kathleen Estrada located?

Kathleen Estrada practices at 2799 West Grand Boulevard Medical Education Department Henry Ford Hospital, Detroit, MI 48202. The listed phone number is (313) 916-1888.

What is Kathleen Estrada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kathleen Estrada enrolled in Medicare?

Yes. Kathleen Estrada 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.

Which organization bills Medicare for Kathleen Estrada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Estrada reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Kathleen Estrada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Estrada 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 and 1 other insurer list Kathleen Estrada 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.

Is Kathleen Estrada affiliated with any hospitals?

According to CMS data, Kathleen Estrada is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Henry Ford Health Wyandotte Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Estrada was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.