Individual Healthcare Provider
Miranda Leah Katty, M.S. PA-C
Provider's NPPES record last updated: April 4, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023461134
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Royal Oak, Michigan
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 4:40 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (Michigan)
- 5601007838
- Physician Assistant (Michigan)
- 5601007838
Practice Locations
Practice Location
3577 W 13 Mile Rd Ste 202a
Royal Oak, Michigan 48073-6710
Phone: (248) 551-0669
Additional Practice Location
7301 Oak Tree Dr
West Bloomfield, Michigan 48322-3126
Phone: (248) 867-9065
Additional Practice Location
16001 W 9 Mile Rd
Southfield, Michigan 48075-4818
Phone: (248) 849-3994
Additional Practice Location
27900 Grand River Ave Ste 230
Farmington Hills, Michigan 48336-5965
Phone: (947) 521-4828
Fax: (248) 473-4825
Additional Practice Location
22060 Beech St
Dearborn, Michigan 48124-2847
Phone: (313) 228-0230
Fax: (313) 228-0231
Additional Practice Location
44199 Dequindre Rd Ste 315
Troy, Michigan 48085-1128
Phone: (248) 551-0669
Fax: (248) 964-1188
Additional Practice Location
5400 Fort St Ste 150
Trenton, Michigan 48183-4627
Phone: (734) 671-3678
Fax: (734) 671-3679
Additional Practice Location
22060 Beech St Ste 300
Dearborn, Michigan 48124-2847
Phone: (313) 228-0230
Fax: (313) 228-0231
Additional Practice Location
16815 E Jefferson Ave Ste 240
Grosse Pointe, Michigan 48230-1923
Phone: (313) 473-4690
Fax: (313) 473-4688
Record Information
- Enumeration Date
- July 14, 2016
- Provider's NPPES Record Last Updated
- April 4, 2024
- Certification Date
- April 4, 2024
- NPISignal NPPES Dataset
- August 2026
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