Active NPI
Thomas Albert Pieniazek, PA-C
- Physician Assistant
- Detroit, MI
National Provider Identifier
1295087690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006473
- Practice address
- 6071 W Outer Dr
Orthopaedic Surgery Department
Detroit, MI 48235-2624 - Phone
- (313) 460-2242
- NPI assigned
- Oct 9, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006473 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Orthopaedic Surgery Department
Detroit, MI 48235-2624
Mailing address
6071 W Outer Dr
Orthopaedic Surgery Department
Detroit, MI 48235-2624
Phone (313) 460-2242
Other practice location 1
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tpieniazek1438812@direct.beaumont.edu |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011
Hospital & facility affiliations
- Henry Ford Health St John Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.26 of 100
- Quality
- 64.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
Interoperability endpoints
- tpieniaz@direct.dmc.org
- tpieniazek1144574@direct.hfhs.org
- tpieniazek1251044@epic00.shdirect.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1295087690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"address_2": "ORTHOPAEDIC SURGERY DEPARTMENT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-460-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"address_2": "ORTHOPAEDIC SURGERY DEPARTMENT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-460-2242"
}
],
"practiceLocations": [
{
"address_1": "468 Cadieux Rd",
"address_purpose": "LOCATION",
"city": "Grosse Pointe",
"state": "MI",
"postal_code": "482301507",
"country_code": "US",
"telephone_number": "313-473-1605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIENIAZEK",
"first_name": "THOMAS",
"middle_name": "ALBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-09",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006473",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tpieniazek1438812@direct.beaumont.edu",
"affiliation": "N",
"address_1": "468 Cadieux Rd",
"city": "Grosse Pointe",
"state": "MI",
"country_code": "US",
"postal_code": "482301507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.