Active NPI
Troy Merrill Smith, DO
- Family Medicine Physician
- Livonia, MI
National Provider Identifier
1922078450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101011031
- Practice address
- 38253 Ann Arbor Rd
Livonia, MI 48150-3432 - Phone
- (734) 464-9200
- Fax
- (734) 464-3332
- NPI assigned
- Jan 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101011031 | MI | Primary |
Addresses
Primary practice location
38253 Ann Arbor Rd
Livonia, MI 48150-3432
Mailing address
38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone (734) 464-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3111845-11 | Medicaid | MI |
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
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2255 Fort St
Lincoln Park, MI 48146-2671
Phone (313) 386-7500
38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone (734) 464-9200
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
- Garden City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101011031 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Family Health Care, P.C. | Family Medicine | Current | Accepting new patients |
| Garden City Hospital | Past | Accepting new patients |
Locations
8532 N Canton Center Rd
Canton, MI 48187
Phone (734) 453-2151
2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500
38253 Ann Arbor Rd
Livonia, MI 48150
Phone (734) 462-3710
28212 Franklin Rd
Southfield, MI 48034
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.
-
- Family Medicine Physician
- Detroit, MI
- NPI 1437161437
-
- Rehabilitation Hospital Unit
- Garden City, MI
- NPI 1801883996
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1922078450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38253 ANN ARBOR RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503432",
"telephone_number": "734-464-9200",
"fax_number": "734-464-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38253 ANN ARBOR RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503432",
"telephone_number": "734-464-9200",
"fax_number": "734-464-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TROY",
"middle_name": "MERRILL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101011031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3111845-11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.