Active NPI
Thomas Knuth, M.D.
- Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301089707
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-3057
- NPI assigned
- Jul 12, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18410 | ND | |
| Trauma Surgery Physician | 2086S0127X | 036098816 | IL | |
| Surgery Physician | 208600000X | 4301089707 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-3057
Other practice location 1
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
Other practice location 2
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
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
- General Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32000 Northwestern Hwy
Suite 240
Farmington Hills, MI 48334-1569
Phone (786) 531-4702
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 41 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301089707 | MI | MD | Surgery Physician |
| 036098816 | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Wound RX Medical Michigan PLLC | Current | Accepting new patients | |
| Ascension Medical Group Promed | Surgery | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Surgery | Current | Accepting new patients |
| Critical Care Surgeons PLLC | Trauma Surgery | Current | Accepting new patients |
| Pathology Specialists of Southeast Michigan PC | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Surgery | Current | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110
22101 Moross Rd
Bldg 1
Detroit, MI 48236
Phone (313) 815-0043
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
32000 Northwestern Hwy
Ste 240
Farmington Hills, MI 48334
Phone (248) 536-0786
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Organizations & group practices 10
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
- Okemos, MI
- NPI 1245057579
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1710213731
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1730415753
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1023100500
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1922023837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-3057"
}
],
"practiceLocations": [
{
"address_1": "44201 Dequindre Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851117",
"country_code": "US",
"telephone_number": "248-964-1187",
"fax_number": "248-964-0609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"fax_number": "313-593-8840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNUTH",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "18410",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036098816",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301089707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.