Many computational models for analyzing and predicting cell physiology rely on in vitro data collected in dilute and controlled buffer solutions. However, this can mislead models because up to 40% of the intracellular volume-depending on the organism, the physiology, and the cellular compartment-is occupied by a dense mixture of proteins, lipids, polysaccharides, RNA, and DNA. These intracellular macromolecules interfere with the interactions of enzymes and their reactants and thus affect the kinetics of biochemical reactions, making in vivo reactions considerably more complex than the in vitro data indicates. In this work, we present a new, to our knowledge, type of kinetics that captures and quantifies the effect of volume exclusion and other spatial phenomena on the kinetics of elementary reactions. We further developed a framework that allows for the efficient parameterization of these kinetics using particle simulations. Our formulation, entitled generalized elementary kinetics, can be used to analyze and predict the effect of intracellular crowding on enzymatic reactions and was herein applied to investigate the influence of crowding on phosphoglycerate mutase in Escherichia coli, which exhibits prototypical reversible Michaelis-Menten kinetics. Current research indicates that many enzymes are reaction limited and not diffusion limited, and our results suggest that the influence of fractal diffusion is minimal for these reaction-limited enzymes. Instead, increased association rates and decreased dissociation rates lead to a strong decrease in the effective maximal velocities V max and the effective Michaelis-Menten constants K M under physiologically relevant volume occupancies. Finally, the effects of crowding were explored in the context of a linear pathway, with the finding that crowding can have a redistributing effect on the effective flux responses in the case of twofold enzyme overexpression. We suggest that this framework, in combination with detailed kinetics models, will improve our understanding of enzyme reaction networks under nonideal conditions. SIGNIFICANCE Kinetic models are essential for understanding and designing biochemical and biophysical processes in living organisms. Currently, kinetic models rely on the in vitro characterization of biochemical reactions, although intracellular reactions are taking place in crowded, nonideal conditions. The interactions of the enzymes and their reactants with other macromolecules in a cell alter the enzyme kinetics significantly, but little has been done to model and quantify the impact of these interactions on the in vivo reaction rates. We present a computational framework that allows us for the first time, to our knowledge, to estimate the in vivo apparent kinetic parameters of an enzyme that follows Michaelis-Menten kinetics. Interestingly, crowding conditions similar to those in Escherichia coli can reduce the maximal enzyme activity 10fold.