Thomas Kaniowski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301034085 Issued in MI

Practice address

23874 Kean St
Dearborn, MI 48124-1804

Phone

(313) 359-0801

Fax

(248) 359-2674

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1477552131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "PMOB 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-465-3144",
            "fax_number": "248-465-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23874 KEAN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241804",
            "telephone_number": "313-359-0801",
            "fax_number": "248-359-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIOWSKI",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301034085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299467810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee Ruel Kaminski
• Sarah Kanaan, FNP-BC
• Ziad Kanaan, MD
• Safa Kanan
• Tai S Kang, M.D.
• Yara Kannab Aida, RPH
• Sai Lakshmi Kanneganti, MD
• Patti Ann Kanouse, OTRL
• Sultan Hassan Kanso
• Vijaya Kanumilli, M.D.

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.