Active NPI
Thomas John Petrou, MD
- Anesthesiology Physician
- Brownstown TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301083640
- Practice address
- 19725 Allen Rd
BLDG a Ste 1
Brownstown TWP, MI 48183-1090 - Phone
- (734) 479-7246
- NPI assigned
- May 23, 2007
- Last updated
- Dec 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301083640 | MI | Primary |
Addresses
Primary practice location
19725 Allen Rd
BLDG a Ste 1
Brownstown TWP, MI 48183-1090
Mailing address
19725 Allen Rd
BLDG a Ste 1
Brownstown, MI 48183-1090
Phone (734) 479-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Services, LLC | Anesthesiology | Current | Accepting new patients |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Detroit Anesthesia Group PLLC | Anesthesiology | Current | Accepting new patients |
| Motor City Anesthesia Services PLLC | Anesthesiology | Current | Accepting new patients |
| Novi Aas LLC | Anesthesiology | Current | Accepting new patients |
| Associated Surgical Center of Dearborn LLC | Anesthesiology | Current | Accepting new patients |
| Associated Surgical Center of Dearborn LLC | Current | Accepting new patients | |
| Hsieh Medical Associates PLLC | Past | Accepting new patients |
Locations
19725 Allen Rd
Bldg A
Brownstown Twp, MI 48183
Phone (734) 479-7246
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
24420 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 202-9400
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
2300 Austins Pkwy
Flint, MI 48507
Phone (810) 449-4190
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
130 Town Center Dr
Ste 130
Troy, MI 48084
Phone (248) 624-7246
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Dearborn Heights, MI
- NPI 1609767342
-
- Ambulatory Surgical Clinic/Center
- Dearborn Heights, MI
- NPI 1760770903
-
- Anesthesiology Physician
- Novi, MI
- NPI 1316212988
-
- Anesthesiology Physician
- Dearborn, MI
- NPI 1457058125
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1083883649
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
dba Hsieh Medical Associates
- Internal Medicine Physician
- Bowling Green, KY
- NPI 1598590770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1033329651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19725 ALLEN RD",
"address_2": "BLDG A STE 1",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "481831090",
"telephone_number": "734-479-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19725 ALLEN RD",
"address_2": "BLDG A STE 1",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481831090",
"telephone_number": "734-479-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROU",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301083640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownstown TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.