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

Kathleen Urban Dehorn, MD

Individual provider Ophthalmology Physician · NPI 1215143797

Kathleen Urban Dehorn, MD is an Ophthalmology in Grand Rapids, Michigan. Graduated from Ohio State University College of Medicine in 2004, 22 years ago. Practices with Retina Specialists of Michigan PC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
22
Trained at
Ohio State University College of Medicine
Licensed in
MI, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone: (616) 954-2020
Fax: (616) 949-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301083642 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 258069 (NY)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 4301083642 (MI)

Record details

NPI number1215143797
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Retina Specialists Of Michigan Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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