Active NPI
Theodore L Tangalos, MD
- Family Medicine Physician
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301064473
- Practice address
- 43445 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1961 - Phone
- (586) 726-4823
- Fax
- (586) 726-8365
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301064473 | MI | Primary |
Addresses
Primary practice location
43445 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1961
Mailing address
43445 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1961
Phone (586) 726-4823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3475867 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15959 Hall Rd
Suite 110
Macomb, MI 48044-5364
Phone (586) 726-4823
43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1972
Phone (586) 726-4823
48801 Romeo Plank Rd
Suite 103
Macomb, MI 48044-2165
Phone (586) 726-4823
Hospital & facility affiliations
- Beaumont Home Health
- Henry Ford Home Health Care
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Henry Ford Macomb Hospital
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301064473 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Pine Medical Group PLC | Family Medicine | Current | Accepting new patients |
| Bayside Family Medicine Chesterfield PC | Family Medicine | Past | Accepting new patients |
Locations
31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900
36555 26 Mile Rd
Ste 2500
Lenox, MI 48048
15959 Hall Rd
Ste 110
Macomb, MI 48044
48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044
53950 Van Dyke Ave
Shelby Township, MI 48316
Phone (248) 293-0055
13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900
43455 Schoenherr Rd
Ste 17
Sterling Hts, MI 48313
43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712
43455 Schoenherr Rd
Sterling Hts, MI 48313
Phone (248) 373-7600
57850 Van Dyke Rd
Ste 600
Washington, MI 48094
Phone (586) 738-9448
57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020
Interoperability endpoints
- ttangalos240935@direct.hfhs.org
- theodoretangalos@spmgsh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1639105695
-
- Family Medicine Physician
- Chesterfield, MI
- NPI 1790018315
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1760466585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43445 SCHOENHERR RD",
"address_2": "STE 2",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131961",
"telephone_number": "586-726-4823",
"fax_number": "586-726-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43445 SCHOENHERR RD",
"address_2": "STE 2",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131961",
"telephone_number": "586-726-4823",
"fax_number": "586-726-8365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGALOS",
"first_name": "THEODORE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301064473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3475867",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.