Individual provider Active NPI

Thomas J Gerou, DC

  • Chiropractor
  • Canton, MI
National Provider Identifier
1750303566
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005337 Issued in MI
Practice address
7277 N Lilley Rd
Canton, MI 48187-2434
Phone
(734) 981-6969
Fax
(734) 416-3976
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005337 MI Primary

Addresses

Primary practice location

7277 N Lilley Rd
Canton, MI 48187-2434

Mailing address

7277 N Lilley Rd
Canton, MI 48187-2434
Phone (734) 981-6969

Other identifiers 3

IdentifierTypeStateIssuer
1839415MedicaidMI
P79012OtherMIBLUE CARE NETWORK
OH25202951OtherMIBCBS OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000097 MI Practitioner - Chiropractic 1658450366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7277 N Lilley Rd
Canton, MI 48187-2434
Phone (734) 981-6969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J. Gerou, D.C., P.C. Chiropractor CurrentSince Sep 19, 1986 Accepting new patients

Locations

7277 N Lilley Rd
Canton, MI 48187
Phone (734) 981-6969

Organizations & group practices 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1750303566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872434",
            "telephone_number": "734-981-6969",
            "fax_number": "734-416-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872434",
            "telephone_number": "734-981-6969",
            "fax_number": "734-416-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROU",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839415",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P79012",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "OH25202951",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.