KAREN A ALTON (MD) – Pediatrics Physician, NPI 1649264037

KAREN A ALTON (MD) is a healthcare provider. based in Clinton twp, Michigan. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301066273 (MI). The NPI Number for KAREN A ALTON (MD) is 1649264037

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KAREN A ALTON (MD)
NPI
1649264037
Phone
(586) 228-4635
Address
43800 GARFIELD RD
Enumeration Date
31 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133433800
Graduation Year
1995 (31 years ago)
PAC ID
8820347479
Group Practice PAC ID
3173424082
Professional Enrollment ID
I20180815002883
Address ID
MI482362166DE22201RDXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 PEDIATRIC MEDICINE in MI

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Provider Addresses for KAREN A ALTON (MD)

  • 43800, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TWP, MI 480381136

    Phone: (586) 228-4635

    Fax: (586) 228-4520

    Type: Mailing

  • 22201, Moross Road, Detroit, Wayne County, Michigan, 48236, United States

    DETROIT, MI 482362169

    Phone: (313) 343-3481

    Fax: (313) 343-7937

    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: 2018-08-15

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
I20180815002883IPediatric MedicineMITBD

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 48038)

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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: 3173424082View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MI
-MI
-MI
Infectious DiseaseMI
H E M A T O L O G Y/ O N C O L O G YMO
-MI
-MI
H E M A T O L O G Y/ O N C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

How is KAREN A ALTON (MD) identified in CMS data?
CMS-hosted NPPES data lists KAREN A ALTON (MD) with NPI 1649264037.
Can I rely on KAREN A ALTON (MD) being an active provider?
As of the registry snapshot, KAREN A ALTON (MD) is marked active.
What is KAREN A ALTON (MD)'s specialty?
The listing groups KAREN A ALTON (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KAREN A ALTON (MD)?
KAREN A ALTON (MD)'s geographic hint is Clinton Twp, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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