Individual provider Active NPI

Thomas Joseph Rohs Jr., MD

  • Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1194775205
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301060374 Issued in MI
Practice address
1717 Shaffer St
Suite 108
Kalamazoo, MI 49048-1647
Phone
(269) 343-9113
Fax
(269) 343-0510
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301060374 MI Primary
Surgical Critical Care Physician 2086S0102X 4301060374 MI

Addresses

Primary practice location

1717 Shaffer St
Suite 108
Kalamazoo, MI 49048-1647

Mailing address

1717 Shaffer St
Suite 108
Kalamazoo, MI 49048-1647
Phone (269) 343-9113

Other identifiers 2

IdentifierTypeStateIssuer
4166777MedicaidMI
0203904022OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000477 MI Practitioner - General Surgery 8325944580 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Jul 1, 2013 Accepting new patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2013 Accepting new patients
Western Michigan University School of Medicine Past Accepting new patients
Ascension Borgess Hospital PastSince Sep 1, 2022 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients

Locations

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1717 Shaffer St
Ste 108
Kalamazoo, MI 49048
Phone (269) 343-9113

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwest Health-PorterValparaiso, IN, CCN 150035 Hospital W-2 Managing Employee Aug 1, 2025
Northwest Health-PorterPortage, IN, CCN 15T035 Hospital W-2 Managing Employee Aug 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1194775205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 108",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-343-9113",
            "fax_number": "269-343-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 108",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-343-9113",
            "fax_number": "269-343-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHS",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301060374",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301060374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4166777",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0203904022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.