NPIMap

Individual provider Active NPI

Thomas Giancarlo, DO

  • Neurology Physician
  • Clinton Township, MI
National Provider Identifier
1780627018
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101008581 Issued in MI
Practice address
34025 Harper
Clinton Township, MI 48043
Phone
(586) 445-9900
Fax
(586) 445-2641
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101008581 MI Primary
Clinical Neurophysiology Physician 2084N0600X 5101008581 MI
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 5101008581 MI

Addresses

Primary practice location

34025 Harper
Clinton Township, MI 48043

Mailing address

34025 Harper
Clinton Township, MI 48043
Phone (586) 445-9900

Other identifiers 6

IdentifierTypeStateIssuer
1780627018OtherMITGDOPC MD ID
P32190001OtherMITGDOPC MR ID
3195326MedicaidMI
319532611MedicaidMI
700E010320OtherMIMNA BC ID
700E020410OtherMITGDOPC BC PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000337 MI Practitioner - NeurologyPractitioner - Neuropsychiatry 3971412719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
Michigan State University College of Human Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

34025 Harper Ave
Clinton Township, MI 48035-3737
Phone (586) 445-9900

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 343-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101008581MIMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince May 3, 2009 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince May 3, 2009 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Mna Lab, LLC Current Accepting new patients
Michigan Neurology Associates, P.C. CurrentSince Aug 1, 1995 Accepting new patients
Newland Medical Associates, P.C. Past Accepting new patients

Locations

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

22101 Moross Rd
Ste 360
Detroit, MI 48236

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

22201 Moross Rd
Ste 356
Grosse Pointe, MI 48236
Phone (313) 343-7444

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

35429 Schoenherr Rd
Sterling Hts, MI 48312
Phone (586) 264-4261

11051 Hall Rd
Ste 240
Utica, MI 48317
Phone (586) 295-8885

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

13355 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-7300

Interoperability endpoints

  • Direct secure messaging: tgiancarlo248917@direct.hfhs.org
  • Direct secure messaging: michiganneurologyassociates.thomasgiancarlo@158246.advancedmd-direct.com

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 12

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1780627018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34025 HARPER",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-445-9900",
            "fax_number": "586-445-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34025 HARPER",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-445-9900",
            "fax_number": "586-445-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANCARLO",
        "first_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101008581",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "5101008581",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "5101008581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TGDOPC MD ID",
            "identifier": "1780627018",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TGDOPC MR ID",
            "identifier": "P32190001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3195326",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319532611",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNA BC ID",
            "identifier": "700E010320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TGDOPC BC PIN",
            "identifier": "700E020410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.