Anthony Iacco, M.D.
Individual provider Active NPI Surgery Physician · Beverly Hills, MI
NPI 1669636718 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1669636718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301092602 (MI)
- Practice address
- 31815 Southfield Rd Ste 17
Beverly Hills, MI 48025-5471 - Phone
- (248) 551-9090
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Healthcare Professionals PC
Beaumont Medical Group Hospital Based Services
Practice addresses (Care Compare)
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552
3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 16 |
| Hernia repair (minimally invasive) | 24 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000095 | MI | Practitioner - Critical Care (Intensivists) |
5799917894 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | Surgery | Current |
Accepting new patients |
| Michigan Healthcare Professionals PC | Current |
Accepting new patients | |
| William Beaumont Hospital | Current |
Accepting new patients | |
| Michigan Healthcare Professionals PC | Current |
Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current |
Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
31815 Southfield Rd
Ste 17
Beverly Hills, MI 48025
Phone (248) 593-3181
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
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
3601 W 13 Mile Rd
Royal Oak, MI 48073
3535 W 13 Mile Rd
Ste 204
Royal Oak, MI 48073
Phone (248) 551-9090
26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- aiacco237563@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301092602 | MI | Yes |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301092602 | MI |
Addresses
Primary practice location
31815 Southfield Rd Ste 17
Beverly Hills, MI 48025-5471
Mailing address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Other practice location 1
22987 W 13 Mile Rd
Beverly Hills, MI 48025-4447
Phone (248) 551-9090
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aiacco16529@direct.beaumont.edu |
Other providers in Beverly Hills, MI
- Keith Allen Hudson
- Shardae L Hughes- Johnson
- Andrew Hughes
- Heather Leighmcpherson Hunt
- Olivia Hutchison
- Angela Dena Iceberg
- Nicole S Ide
- Indira C. Misra Higgins, DO PLLC
- J Michael Wiater MD,PC
- Emily Jacobs
All providers in Beverly Hills, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.