Individual provider Active NPI

Kristopher Andrew Torossian, MD

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1770163099
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4351048269 Issued in MI
Practice address
4201 St. Antoine Uhc-9C
Detroit Medical Center Gme Office
Detroit, MI 48201
Phone
(313) 966-1020
NPI assigned
Apr 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 4351048269 MI Primary

Addresses

Primary practice location

4201 St. Antoine Uhc-9C
Detroit Medical Center Gme Office
Detroit, MI 48201

Mailing address

2132 Keylon Dr
West Bloomfield, MI 48324-1329
Phone (248) 881-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626003547 IL Practitioner - Emergency Medicine 1153720297 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oakland Univ, William Beaumont School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Emergency Good Samaritan, IncGroup PAC ID 1658529342, 28 clinicians
Midwest Emergency Anderson Health IncGroup PAC ID 8022401256, 33 clinicians
Touchette Regional Hospital IncGroup PAC ID 7416843370, 46 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

400 N Caldwell St
Staunton, IL 62088-1173
Phone (618) 635-2022

5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077
  • Salem Township Hospital Hospital, Salem, IL, CCN 141345
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Anderson Health, Inc Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Midwest Emergency Sparta, Inc Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Midwest Inpatient Anderson Health, Inc Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Midwest Emergency Good Samaritan, Inc Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Salem Township Hospital Current Accepting new patients
Touchette Regional Hospital Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc Emergency Medicine CurrentSince May 13, 2024 Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1770163099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 KEYLON DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241329",
            "telephone_number": "248-881-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE UHC-9C",
            "address_2": "DETROIT MEDICAL CENTER GME OFFICE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-966-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOROSSIAN",
        "first_name": "KRISTOPHER",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-11",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4351048269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.