KRISTEN ELIZABETH KAVANAGH (DO) – Family Medicine Physician, NPI 1174562482

KRISTEN ELIZABETH KAVANAGH (DO) is a healthcare provider. based in Shelby twp, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101015629 (MI). The NPI Number for KRISTEN ELIZABETH KAVANAGH (DO) is 1174562482

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN ELIZABETH KAVANAGH (DO)
NPI
1174562482
Phone
(586) 323-4450
Address
51221 SCHOENHERR RD STE 201
Enumeration Date
5 June 2006
Last Update Date
5 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867265566
Graduation Year
2003 (23 years ago)
PAC ID
4183636970
Group Practice PAC ID
8921482605
Professional Enrollment ID
I20060616000190
Address ID
MI483153141SH50505RDXX308
Telehealth
Yes

Contacts

Secure Messaging
kkavanagh7169@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Loading map...

Provider Addresses for KRISTEN ELIZABETH KAVANAGH (DO)

  • 51221 SCHOENHERR RD STE 201

    SHELBY TWP, MI 483152718

    Phone: (586) 323-4450

    Fax: (586) 323-4448

    Type: Mailing

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    STE 240

    SHELBY TWP, MI 483153140

    Phone: (586) 323-4450

    Fax: (586) 323-4448

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $899.

Total Amount is formed as General ($899) + Research ($0) + Ownership ($0) = $899.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: ABBVIE INC. ($274).

Total Amount

$899

General + Research + Ownership

Payments

54

Total payment records

General Amount

$899

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060616000190IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13685$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8585$0
99213Established patient office or other outpatient visit, 20-29 minutes7666$0
G0444Annual depression screening, 5 to 15 minutes5454$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3636$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

Loading plans...

Provider's Procedures

KRISTEN ELIZABETH KAVANAGH (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle4040

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921482605View full group profile
NameSpecialtyState
Family PracticeMI
Physician AssistantMI
Internal MedicineMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Nurse PractitionerMI
Physician AssistantMI
Internal MedicineKY
P O D I A T R YMI
Family PracticeMI
Physician AssistantMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows KRISTEN ELIZABETH KAVANAGH (DO) across health systems?
The NPI 1174562482 uniquely identifies KRISTEN ELIZABETH KAVANAGH (DO) in U.S. healthcare data.
Should I treat KRISTEN ELIZABETH KAVANAGH (DO) as an active provider?
Patients and plans typically see KRISTEN ELIZABETH KAVANAGH (DO) as active in the national extract.
What services align with KRISTEN ELIZABETH KAVANAGH (DO)'s listing?
KRISTEN ELIZABETH KAVANAGH (DO)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTEN ELIZABETH KAVANAGH (DO)?
KRISTEN ELIZABETH KAVANAGH (DO) is associated with Shelby Twp, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. KEITH B TOM (DO)

Family Medicine Physician
49221, Van Dyke Avenue, Shelby Charter Township, Macomb County, Michigan, 48317, United States
NPI: 1609850130

JEF GETZINGER (MD)

Family Medicine Physician
13350, 24 Mile Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States
NPI: 1205885787

DR. PAUL EHARDT (M.D.)

Family Medicine Physician
49310, Van Dyke Avenue, Shelby Charter Township, Macomb County, Michigan, 48317, United States
NPI: 1306865209

DR. SHEETAL VARDE (D.O.)

Family Medicine Physician
49310, Van Dyke Avenue, Shelby Charter Township, Macomb County, Michigan, 48317, United States
NPI: 1861411159

MARCIA ELIZABETH KLING (M.D.)

Family Medicine Physician
47733, Van Dyke Avenue, Shelby Charter Township, Macomb County, Michigan, 48317, United States
NPI: 1134130834

DR. VESNA EVKOSKA (DO)

Family Medicine Physician
Partners in Family Medicine, 6000, 24 Mile Road, Shelby Charter Township, Macomb County, Michigan, 48316, United States
NPI: 1801973912

SHELBYDALE MEDICAL CLINIC, P.C.

Family Medicine Physician
49221, Van Dyke Avenue, Shelby Charter Township, Macomb County, Michigan, 48317, United States
NPI: 1629258488

SHARA L CROFF (MD)

Family Medicine Physician
3850 HIGH VIEW DR
NPI: 1609196096

KRISTINA MARIA WIXON (D.O.)

Family Medicine Physician
27450 SCHOENHERR RD STE 400
NPI: 1619358793