Individual provider Active NPI

Michelle Mei Truong, MD

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1952891400
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301504374 Issued in MI
Practice address
22201 Moross Rd Ste 270
Detroit, MI 48236-2175
Phone
(313) 343-3481
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301504374 MI Primary

Addresses

Primary practice location

22201 Moross Rd Ste 270
Detroit, MI 48236-2175

Mailing address

22201 Moross Rd Ste 270
Detroit, MI 48236-2175

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
I20210921001397 MI Practitioner - Pediatric Medicine 6103181573 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504374MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Pediatrics CurrentSince Sep 20, 2021 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Sep 20, 2021 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
St. John Hospital Past Accepting new patients

Locations

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

22201 Moross Rd
Ste 270
Grosse Pointe, MI 48236
Phone (313) 343-3481

22201 Moross Rd
Ste 70
Grosse Pointe, MI 48236
Phone (313) 343-3700

17900 23 Mile Rd
Ste 101
Macomb, MI 48044
Phone (586) 868-9010

1135 W University Dr
Ste 355
Rochester Hills, MI 48307
Phone (248) 680-8060

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

Interoperability endpoints

  • Direct secure messaging: mtruong1156002@direct.hfhs.org

Organizations & group practices 4

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1952891400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 270",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 270",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362175",
            "telephone_number": "313-343-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MICHELLE",
        "middle_name": "MEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301504374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.