Active NPI
Raouf Tadros, D.O.
- Anesthesiology Physician
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5101018079
- Practice address
- 43475 Dalcoma Dr Ste 100
Clinton TWP, MI 48038-3593 - Phone
- (586) 263-5043
- NPI assigned
- May 28, 2010
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101018079 | MI | Primary |
Addresses
Primary practice location
43475 Dalcoma Dr Ste 100
Clinton TWP, MI 48038-3593
Mailing address
4402 Willow Creek Dr
Troy, MI 48085-5726
Phone (248) 835-4730
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-0514
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
- Anesthesiology
- Education
- Michigan State University College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2006 Hogback Rd
Ann Arbor, MI 48105-9750
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615
Hospital & facility affiliations
- Huron Valley-Sinai Hospital
- Surgeons Choice Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
Interoperability endpoints
- rtadros@direct.dmc.org
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.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital
-
- Ambulatory Surgical Clinic/Center
- Warren, MI
- NPI 1619969540
Hospital
-
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1730337601
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1801115993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 WILLOW CREEK DR",
"city": "TROY",
"state": "MI",
"postal_code": "480855726",
"telephone_number": "248-835-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43475 DALCOMA DR STE 100",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383593",
"telephone_number": "586-263-5043"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-0514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TADROS",
"first_name": "RAOUF",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101018079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.