Individual provider Active NPI

Thomas Knuth, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1922023837
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301089707 Issued in MI
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

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000218 MI Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 1850325739 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound RX Medical Michigan PLLCGroup PAC ID 7719412014, 2 clinicians

Practice addresses (Care Compare)

32000 Northwestern Hwy
Suite 240
Farmington Hills, MI 48334-1569
Phone (786) 531-4702

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089707MIMDSurgery Physician
036098816ILMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Ascension Medical Group Promed CurrentSince Nov 1, 2020 Accepting new patients
Wound RX Medical Michigan PLLC CurrentSince Mar 27, 2025 Accepting new patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Promed Healthcare CurrentSince Nov 1, 2020 Accepting new patients
Henry Ford Health St. John Hospital Surgery CurrentSince May 1, 2019 Accepting new patients
Critical Care Surgeons PLLC Trauma Surgery CurrentSince Jun 1, 2011 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Aug 14, 2020 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.

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

Verify at the official NPI Registry.