NPIMap

Individual provider Active NPI

Anthony Thayer Konja, DO

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1639673601
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101026440 Issued in MI
Practice address
28655 Hoover Rd
Warren, MI 48093-4105
Phone
(586) 393-1330
Fax
(586) 393-1308
NPI assigned
Mar 22, 2018
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 NU
Internal Medicine Physician 207R00000X 5101026440 MI Primary

Addresses

Primary practice location

28655 Hoover Rd
Warren, MI 48093-4105

Mailing address

28655 Hoover Rd
Warren, MI 48093-4105
Phone (586) 393-1330

Other practice location 1

37595 7 Mile Rd Ste 340
Livonia, MI 48152-1003
Phone (734) 793-2470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908001528 MI Practitioner - Internal Medicine 7911253042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Associates of Michigan, PLLCGroup PAC ID 9436400447, 7 clinicians

Practice addresses (Care Compare)

11095 E 14 Mile Rd
Arden Court HCR Manor Care
Sterling Heights, MI 48312-6117
Phone (586) 795-0998

11800 E 12 Mile Rd
Ascension Macomb Oakland Hospital
Warren, MI 48093-3472
Phone (586) 573-5000

137 Keveling Dr
Saline, MI 48176-1197
Phone (586) 393-1330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jul 1, 2023 Accepting new patients
Geriatric Associates of Michigan, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
JS Dudovitz, Inc PastSince Jun 4, 2023 Accepting new patients
Trinity Continuing Care Services Past Accepting new patients

Locations

33300 Utica Rd
Fraser, MI 48026
Phone (586) 293-3300

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

137 Keveling Dr
Saline, MI 48176
Phone (586) 393-1330

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

11700 E 10 Mile Rd
Warren, MI 48089
Phone (586) 353-3800

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

11900 E 12 Mile Rd
Ste 103
Warren, MI 48093
Phone (586) 574-0890

14030 E 14 Mile Rd
Warren, MI 48088
Phone (586) 286-3260

28655 Hoover Rd
Warren, MI 48093
Phone (586) 393-1330

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

Interoperability endpoints

  • Direct secure messaging: akonja1135045@direct.hfhs.org
  • Direct secure messaging: akonja864133@direct.hfhs.org

Organizations & group practices 7

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 9

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1639673601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28655 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934105",
            "telephone_number": "586-393-1330",
            "fax_number": "586-393-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28655 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934105",
            "telephone_number": "586-393-1330",
            "fax_number": "586-393-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37595 7 Mile Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521003",
            "country_code": "US",
            "telephone_number": "734-793-2470",
            "fax_number": "734-793-2471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONJA",
        "first_name": "ANTHONY",
        "middle_name": "THAYER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101026440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.