KENNETH TUCKER (MD) – Hematology & Oncology Physician, NPI 1669479846

KENNETH TUCKER (MD) is a healthcare provider. based in Warren, Michigan. specializing in MEDICAL ONCOLOGY, HEMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301024231 (MI). The NPI Number for KENNETH TUCKER (MD) is 1669479846

Main info

Male
66 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH TUCKER (MD)
NPI
1669479846
Phone
(586) 751-2072
Address
11900 E 12 MILE RD
Enumeration Date
5 July 2005
Last Update Date
16 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2484770552
Graduation Year
1960 (66 years ago)
PAC ID
6406957018
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20080522000523
Address ID
MI483365965FA27900AVEX403
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

184 MEDICAL ONCOLOGY in MI

Loading map...

Provider Addresses for KENNETH TUCKER (MD)

  • East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States

    SUITE 300

    WARREN, MI 480933400

    Phone: (586) 751-2072

    Fax: (586) 751-1302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $274.

Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Janssen Biotech, Inc. ($140).

Total Amount

$274

General + Research + Ownership

Payments

11

Total payment records

General Amount

$274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2008-05-22

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
I20080522000523IMedical OncologyMITBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count29057$0
99214Established patient office or other outpatient visit, 30-39 minutes22552$0
99215Established patient office or other outpatient visit, 40-54 minutes9036$0
85651Red blood cell sedimentation rate, to detect inflammation, non-automated8835$0
81000Manual urinalysis test with examination using microscope, non-automated8232$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

Loading plans...

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: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
Pediatric MedicineMI

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 NPI should I save for KENNETH TUCKER (MD)?
Save NPI 1669479846 if you need a stable reference for KENNETH TUCKER (MD).
Is KENNETH TUCKER (MD) currently active in the NPI registry?
CMS-published data lists KENNETH TUCKER (MD) as an active registrant.
Can you summarize KENNETH TUCKER (MD)'s specialty in plain language?
Clinically, the directory lists KENNETH TUCKER (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is KENNETH TUCKER (MD)'s primary listing?
We display Warren, Michigan because that is what the record indicates for KENNETH TUCKER (MD).
Is KENNETH TUCKER (MD) a real provider?
This page reflects official NPPES data for NPI 1669479846. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

ALLEN N STAWIS (MD)

Hematology & Oncology Physician
East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States
NPI: 1720085988

DR. EFSTATHIOS S TAPAZOGLOU (M.D.)

Hematology & Oncology Physician
East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States
NPI: 1821070798

DR. VIJAYALAKSHMI DONTHIREDDY (M.D.)

Hematology & Oncology Physician
3922, Knightbridge Circle, Parkside Pointe, Sterling Heights, Macomb County, Michigan, 48314, United States
NPI: 1972568087

DR. MARTIN IRVIN SCHOCK (MD)

Hematology & Oncology Physician
East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States
NPI: 1063478428

SJH MultipSpecialty Group

Internal Medicine Physician
3187 SOLUTIONS CTR
NPI: 1912965088

MRS. DAWN M SEVERSON (M.D.)

Medical Oncology Physician
50505 SCHOENHERR RD STE 300
NPI: 1558317990

MACOMB HEMATOLOGY ONCOLOGY

Hematology & Oncology Physician
1122, Balfour Street, Grosse Pointe Park, Wayne County, Michigan, 48230, United States
NPI: 1609814631

MOHAMMAD MOBAYED (MD)

Hematology & Oncology Physician
25625 SCHOENHERR RD STE 300
NPI: 1114134632

DR. TARIK HIKMAT HADID (MD)

Hematology & Oncology Physician
19229 Mack
NPI: 1144424623