Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Paul D'Andrea, DO

Individual provider Neurological Surgery Physician · NPI 1780951582

Dr. Kenneth Paul D'Andrea, DO is a Neurosurgery in Detroit, Michigan. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2011, 15 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
MI
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

22201 Moross Rd Ste 352
Detroit, MI 48236-2169
Phone: (313) 343-7747
Fax: (313) 343-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 5101019577 (MI)

Record details

NPI number1780951582
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 22, 2011
Last updated in NPPESMay 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2011 (15 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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