Kelly Hefferon, D.O.
NPI 1255474813 · Geriatric Medicine (Internal Medicine) Physician · Southfield, MI
Enrolled with Medicare as Practitioner - Geriatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Hefferon, D.O. is a Geriatric Medicine (Internal Medicine) Physician provider in Southfield, MI (NPI 1255474813).
Provider details
- NPI number
- 1255474813
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 5101012396 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2019-11-07
Frequently asked questions
- What is Kelly Hefferon's NPI number?
- Kelly Hefferon's National Provider Identifier (NPI) is 1255474813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Hefferon's specialty?
- Kelly Hefferon is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Hefferon located?
- Kelly Hefferon's practice location on file with NPPES is 21650 W 11 Mile Rd Ste 209, Southfield, MI 48076-3777.
- What is Kelly Hefferon's phone number?
- The practice phone number listed in the NPPES registry for Kelly Hefferon is (248) 809-9638.
- Does Kelly Hefferon accept Medicare?
- Kelly Hefferon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Hefferon's NPI active?
- Yes — Kelly Hefferon's NPI (1255474813) is active in the NPPES registry as of the last update on 2019-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.