ROBERT B KININGHAM (MD) – Family Medicine Physician, NPI 1346338456

ROBERT B KININGHAM (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. G202415 (CA). The NPI Number for ROBERT B KININGHAM (MD) is 1346338456

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT B KININGHAM (MD)
NPI
1346338456
Phone
(734) 647-5640
Address
24 FRANK LLOYD WRIGHT DR
Enumeration Date
11 October 2006
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
7810024270
Group Practice PAC ID
3779497870
Professional Enrollment ID
I20250918002238
Address ID
CA941432202SA400XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for ROBERT B KININGHAM (MD)

  • Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States

    LOBBY H

    ANN ARBOR, MI 481059484

    Phone: (734) 647-5640

    Type: Location

  • 24 Frank Lloyd Wright Dr

    Lobby H

    Ann Arbor, MI 481059484

    Phone: (734) 647-5640

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 290 REDWOOD SHORES PKWY

    REDWOOD CITY, CA 940651173

    Phone: (415) 476-7877

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100416000573IFamily PracticeMITBD
I20250918002238IFamily PracticeCATBD

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 minutes10575$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8632$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5022$0
99213Established patient office or other outpatient visit, 20-29 minutes4641$0
99238Hospital discharge day management, 30 minutes or less3433$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

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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: 3779497870View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
-CA
-CA
Physician AssistantCA
-ID
Orthopedic SurgeryCA
-CA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
O P H T H A L M O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

Is ROBERT B KININGHAM (MD) listed with a National Provider Identifier?
Yes — ROBERT B KININGHAM (MD) has NPI 1346338456 on file in the registry.
Would ROBERT B KININGHAM (MD) appear as active to a payer?
You can treat ROBERT B KININGHAM (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ROBERT B KININGHAM (MD)?
ROBERT B KININGHAM (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ROBERT B KININGHAM (MD) associated with Ann Arbor?
Public fields place ROBERT B KININGHAM (MD) around Ann Arbor, Michigan. Always confirm the exact site before visiting.
Does ROBERT B KININGHAM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.