Individual provider Active NPI

Thomas John Petrou, MD

  • Anesthesiology Physician
  • Brownstown TWP, MI
National Provider Identifier
1033329651
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301083640 Issued in MI
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
Northwestern Services, LLC Current Accepting new patients
Detroit Anesthesia Group PLLC Anesthesiology CurrentSince Sep 20, 2014 Accepting new patients
Motor City Anesthesia Services PLLC Anesthesiology CurrentSince Aug 22, 2024 Accepting new patients
Novi Aas LLC Anesthesiology CurrentSince Jul 19, 2021 Accepting new patients
Associated Surgical Center of Dearborn LLC Anesthesiology CurrentSince Oct 11, 2024 Accepting new patients
Associated Surgical Center of Dearborn LLC CurrentSince Oct 11, 2024 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.

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

Verify at the official NPI Registry.