Individual provider Active NPI

Thomas M Pinson, D.O.

  • Family Medicine Physician
  • Southgate, MI
National Provider Identifier
1326021262
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009701 Issued in MI
Practice address
13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone
(734) 283-2262
Fax
(734) 283-8121
NPI assigned
Nov 23, 2005
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009701 MI Primary

Addresses

Primary practice location

13636 Dix Toledo Rd
Southgate, MI 48195-2432

Mailing address

13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone (734) 283-2262

Other identifiers 1

IdentifierTypeStateIssuer
4113657MedicaidMI

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
I20100218000067 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 4587556931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Michigan State University College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City Medical PCGroup PAC ID 6709778145, 4 clinicians

Practice addresses (Care Compare)

13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone (313) 283-2262

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
78.29
Promoting interoperability
91
Improvement activities
40
Cost
72.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101009701MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical P C CurrentSince Apr 1, 1997 Accepting new patients

Locations

30581 Stephenson Hwy
Madison Hts, MI 48071
Phone (248) 234-3101

1750 Busha Hwy
Marysville, MI 48040
Phone (810) 364-4130

13636 Dix Toledo Rd
Southgate, MI 48195
Phone (313) 283-2262

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1326021262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952432",
            "telephone_number": "734-283-2262",
            "fax_number": "734-283-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952432",
            "telephone_number": "734-283-2262",
            "fax_number": "734-283-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSON",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113657",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.