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

Kenneth J Bottesi, MD

Individual provider Neurology Physician · NPI 1164419008

Kenneth J Bottesi, MD is a Neurology in Shelby Township, Michigan. Graduated from Wayne State University School of Medicine in 1992, 34 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
34
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
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

45634 Schoenherr Rd
Shelby Township, MI 48315-6024
Phone: (586) 566-3000
Fax: (586) 566-3070
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301059564 (MI)

Record details

NPI number1164419008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESMarch 9, 2009
Mailing address45634 Schoenherr Rd, Shelby Township, MI 48315-6024

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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