Active NPI
Peter Demetrios Panagopoulos, M.D.
- Anesthesiology Physician
- Grosse Pointe Woods, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301093014
- Practice address
- 639 Canterbury Rd
Grosse Pointe Woods, MI 48236-1282 - Phone
- (313) 881-2106
- NPI assigned
- Jul 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301093014 | MI | Primary |
Addresses
Primary practice location
639 Canterbury Rd
Grosse Pointe Woods, MI 48236-1282
Mailing address
639 Canterbury Rd
Grosse Pointe Woods, MI 48236-1282
Other practice location 1
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (248) 423-5198
Other practice location 2
3330 Meijer Dr Ste 2
Toledo, OH 43617-3103
Phone (419) 578-2020
Other practice location 3
4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 214-4214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
Hospital & facility affiliations
- Henry Ford Health St John Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093014 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John Anesthesiologists, PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1790720134
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
-
- Anesthesiology Physician
- Lapeer, MI
- NPI 1497797153
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1255996567
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1710116611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 CANTERBURY RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 CANTERBURY RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361282",
"telephone_number": "313-881-2106"
}
],
"practiceLocations": [
{
"address_1": "6245 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481354001",
"country_code": "US",
"telephone_number": "248-423-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Meijer Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436173103",
"country_code": "US",
"telephone_number": "419-578-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4235 Secor Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436234299",
"country_code": "US",
"telephone_number": "419-214-4214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANAGOPOULOS",
"first_name": "PETER",
"middle_name": "DEMETRIOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301093014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.