Active NPI
Thomas Kenney Hagerman, MD
- Emergency Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.156138
- Practice address
- 520 W 10TH Ave
Columbus, OH 43210-1328 - Phone
- (614) 293-8305
- Fax
- (614) 685-7108
- NPI assigned
- Mar 24, 2020
- Last updated
- May 19, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301513487 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301513487 | MI | |
| Emergency Medicine Physician | 207P00000X | 35.156138 | OH | Primary |
Addresses
Primary practice location
520 W 10TH Ave
Columbus, OH 43210-1328
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8305
Other practice location 1
4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (217) 494-2440
Other practice location 2
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
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
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
520 W 10TH Ave
Columbus, OH 43210-1328
Phone (614) 293-8305
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301513487 | MI | MD | Emergency Medicine Physician |
| 35.156138 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Emergency Medicine | Current | Accepting new patients |
Locations
19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Interoperability endpoints
- thagerman654004@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Emergency Medical Services (Emergency Medicine) Physician
- Columbus, OH
- NPI 1699705681
-
- Physician Assistant
- Detroit, MI
- NPI 1811073901
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1972681187
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ohio State University Dodd Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
dba Ohio State University Harding Hospital
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1710514500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8305",
"fax_number": "614-685-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101328",
"telephone_number": "614-293-8305",
"fax_number": "614-685-7108"
}
],
"practiceLocations": [
{
"address_1": "4260 Plymouth Rd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481092700",
"country_code": "US",
"telephone_number": "217-494-2440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGERMAN",
"first_name": "THOMAS",
"middle_name": "KENNEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301513487",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301513487",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.156138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.