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

Kellsey Peterson, MD

Individual provider Hospitalist Physician · NPI 1487008983

Kellsey Peterson, MD is a Cardiovascular Disease (Cardiology) in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
10
Licensed in
MI, NY
In the registry since
2016
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

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1550
  • 601 Elmwood Ave, Rochester, NY 14642-0001 — (585) 275-2874
  • 2215 Burdett Ave, Troy, NY 12180-2466 — (518) 271-3300

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 4301506898 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence 303757 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301506898 (MI)

Record details

NPI number1487008983
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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