Kevin E Till Dpm PC
Kevin E Till Dpm PC is a healthcare organization registered as Podiatrist in Detroit, MI, holding Type 2 (organization) NPI 1164592820 since 2006. The authorized official on file is Kevin Till, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164592820 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kevin E Till Dpm PC |
| Practice address | 4160 JOHN R ST, STE 1012, Detroit, MI, 48201 |
| Phone | 3138316442 |
| Fax | 3138316513 |
| Enumeration date | 2006-11-09 |
| Last updated in NPPES | 2010-12-29 |
Authorized official
| Name | Kevin Till |
|---|---|
| Title | Physician |
| Phone | 3138316442 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213E00000X | Podiatrist | Primary | 5901001067 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133113886 | Medicaid | MI | — |
Copy-ready billing details
Provider: Kevin E Till Dpm PC NPI: 1164592820 Taxonomy: 213E00000X (Podiatrist) Address: 4160 JOHN R ST, STE 1012, Detroit, MI, 48201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508864240 | Uma Gorrepati | Individual | Internal Medicine Physician | Detroit, MI |
| 1881687861 | Hassan Ismail | Individual | Interventional Cardiology Physician | Detroit, MI |
| 1124012778 | Susan Smolinske | Individual | Pharmacotherapy Pharmacist | Detroit, MI |
| 1831154798 | Amir Kaki | Individual | Interventional Cardiology Physician | Detroit, MI |
| 1841257029 | Angela Bully | Individual | Internal Medicine Physician | Detroit, MI |
| 1922056829 | Cynthia Aaron | Individual | Medical Toxicology (Emergency Medicine) Physician | Detroit, MI |
| 1760436430 | Jeffrey Rubin | Individual | Vascular Surgery Physician | Detroit, MI |
| 1508811456 | Mahmoud Othman | Individual | Interventional Cardiology Physician | Detroit, MI |
Verify this record
Cross-check NPI 1164592820 against the authoritative CMS record: view Kevin E Till Dpm PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Kevin E Till Dpm PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-12-29.