Kelley Park
NPI 1265067318 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelley Park is a Student in an Organized Health Care Education/Training Program provider in Detroit, MI (NPI 1265067318).
Provider details
- NPI number
- 1265067318
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Kelley Park's NPI number?
- Kelley Park's National Provider Identifier (NPI) is 1265067318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Park's specialty?
- Kelley Park is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kelley Park located?
- Kelley Park's practice location on file with NPPES is 540 E Canfield St, Detroit, MI 48201-1928.
- What is Kelley Park's phone number?
- The practice phone number listed in the NPPES registry for Kelley Park is (313) 577-1466.
- Does Kelley Park accept Medicare?
- Kelley Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelley Park's NPI active?
- Yes — Kelley Park's NPI (1265067318) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.