Individual provider Active NPI

Tera Alexandra Arvoy, MD

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1396327201
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-53508 Issued in IA
Practice address
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone
(313) 993-2529
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD-53508 IA Primary

Addresses

Primary practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Mailing address

4625 2ND Ave Apt G2
Detroit, MI 48201-1241
Phone (989) 494-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, OK, NY, OH, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240911002445 IA Practitioner - Emergency Medicine 8729488051 Reassigns benefits to 1 organization
I20250826005093 OK Practitioner - Emergency Medicine 8729488051 Reassigns benefits to 1 organization
I20251031001264 NY Practitioner - Emergency Medicine 8729488051 Reassigns benefits to 1 organization
I20251217004065 OH Practitioner - Emergency Medicine 8729488051 Reassigns benefits to 4 organizations
I20260514003461 TX Practitioner - Emergency Medicine 8729488051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2131 Lawrence St
Apt 605
Denver, CO 80205-2349

4535 Dressier Rd NW
Canton, OH 44718-2545

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-53508IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 20, 2024 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Aug 13, 2025 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 20, 2024 Accepting new patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Dec 8, 2025 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Dec 8, 2025 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Dec 8, 2025 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Dec 8, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1396327201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 2ND AVE APT G2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011241",
            "telephone_number": "989-494-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-993-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVOY",
        "first_name": "TERA",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-53508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.