NPIMap

Organization Active NPI

Metropolis Medical Partners PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
National Provider Identifier
1124489257
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
METROPOLIS MEDICAL PARTNERS PA
Practice address
21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Phone
(248) 662-0250
Fax
(248) 662-9845
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Thomas M Prose
Title
President
Phone
(248) 662-0250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X MI Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X MI

Addresses

Primary practice location

21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510

Mailing address

21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Phone (248) 662-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160426000177 MO Part B Supplier - Clinic/Group Practice 2466750690 Receives reassigned benefits from 6 practitioners
Practice locations: Saint Joseph, MO; Kansas City, MO; Harrisonville, MO; Cape Girardeau, MO; Saint Francis, MO
O20180308001360 KS Part B Supplier - Clinic/Group Practice 2466750690 Receives reassigned benefits from 1 practitioner
Practice locations: Wathena, KS

National Provider Directory

National Provider Directory

Locations

400 E Hillview Ave
Greenville, IL 62246
Phone (618) 664-1622

201 S 10th St
Mascoutah, IL 62258
Phone (618) 566-8000

225 Castellano Dr
Swansea, IL 62226
Phone (618) 222-2571

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

117 S 15th St
Saint Joseph, MO 64501
Phone (816) 676-1505

1415 Olive St
Saint Joseph, MO 64503
Phone (816) 273-5070

119 Virginia St
#2
Saint Joseph, MO 64504
Phone (816) 238-5266

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1124489257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 HAGGERTY RD",
            "address_2": "SUITE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755510",
            "telephone_number": "248-662-0250",
            "fax_number": "248-662-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 HAGGERTY RD",
            "address_2": "SUITE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755510",
            "telephone_number": "248-662-0250",
            "fax_number": "248-662-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLIS MEDICAL PARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "PROSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-662-0250"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.