DR. KELIN PROKURAT (D.O.) – Obstetrics & Gynecology Physician, NPI 1285012948

DR. KELIN PROKURAT (D.O.) is a healthcare provider. based in Detroit, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101025571 (MI). The NPI Number for DR. KELIN PROKURAT (D.O.) is 1285012948

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELIN PROKURAT (D.O.)
NPI
1285012948
Phone
(313) 745-5146
Address
4201 SAINT ANTOINE ST
Enumeration Date
14 May 2015
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2488582270
Graduation Year
2015 (11 years ago)
PAC ID
4789986738
Group Practice PAC ID
8426464884
Professional Enrollment ID
I20220421000974
Address ID
MI483415023PO44405AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. KELIN PROKURAT (D.O.)

  • 4201 SAINT ANTOINE ST

    DETROIT, MI 482012153

    Phone: (313) 745-5146

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,011.

Total Amount is formed as General ($1,011) + Research ($0) + Ownership ($0) = $1,011.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($885).

Total Amount

$1,011

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

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: 2022-04-21

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
I20220421000974IObstetrics/GynecologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 8426464884View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryMI
O B S T E T R I C S/ G Y N E C O L O G YMI
N E U R O S U R G E R YMI
N E U R O S U R G E R YMI
Thoracic Surgery, General SurgeryNY
Nurse PractitionerMI
N E U R O S U R G E R YMI
Internal Medicine, Hematology/OncologyMI
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for DR. KELIN PROKURAT (D.O.)?
Save NPI 1285012948 if you need a stable reference for DR. KELIN PROKURAT (D.O.).
Is DR. KELIN PROKURAT (D.O.) active in the national directory?
DR. KELIN PROKURAT (D.O.)'s public NPI profile is in an active state.
Does DR. KELIN PROKURAT (D.O.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for DR. KELIN PROKURAT (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KELIN PROKURAT (D.O.)?
The page summarizes Detroit, Michigan for DR. KELIN PROKURAT (D.O.); expand the address list for detail.
What if Detroit, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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