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

Kenneth Grant Masters, DO

Individual provider Anesthesiology Physician · NPI 1295355063

Kenneth Grant Masters, DO is an Anesthesiology in Detroit, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Northstar Anesthesia of Michigan PLLC, a 190-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
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

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (313) 745-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 Telegraph Rd, Taylor, MI 48180-3330 — (313) 295-5000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Anesthesiology Physician Taxonomy 207L00000X · Licence 5101027678 (MI)

Record details

NPI number1295355063
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Northstar Anesthesia Of Michigan Pllc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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