Individual provider Active NPI

Thomas James Mertz, MD

  • Urology Physician
  • Roseville, MI
National Provider Identifier
1659337137
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301035307 Issued in MI
Practice address
18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone
(586) 773-6300
Fax
(586) 773-6266
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301035307 MI Primary

Addresses

Primary practice location

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990

Mailing address

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone (586) 773-6300

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
I20040223001268 MI Practitioner - Urology 6800782368 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301035307MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Grosse Pointe Urologic Surgeons Urology Past Accepting new patients

Locations

37555 Garfield Rd
Ste 110
Clinton Twp, MI 48036
Phone (248) 336-3179

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

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

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

18325 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (586) 773-6300

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

Interoperability endpoints

  • Direct secure messaging: tmertz63548@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1659337137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 E 10 MILE RD",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664990",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 E 10 MILE RD",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664990",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301035307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.