Individual provider Active NPI

Trevor Dennis, PA-C

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1952949117
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
35735 Mound Rd
Sterling Heights, MI 48310-4728
Phone
(586) 261-1960
NPI assigned
Dec 18, 2019
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

35735 Mound Rd
Sterling Heights, MI 48310-4728

Mailing address

19609 Rosedale St
Saint Clair Shores, MI 48080-3387

Other practice location 1

31290 Groesbeck Hwy
Fraser, MI 48026-2517
Phone (566) 944-2272 ext. 56694

Other practice location 2

45300 Mound Rd Ste 100
Shelby Township, MI 48317-5109
Phone (586) 439-6310

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001647 MI Practitioner - Physician Assistant 1052746799 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

21435 Greater Mack Ave
Saint Clair Shores, MI 48080-2304
Phone (586) 298-1927

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

29531 Plymouth Rd
Livonia, MI 48150-2125
Phone (734) 237-7037

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114

6901 Orchard Lake Rd
West Bloomfield, MI 48322-3416
Phone (248) 671-3074

71050 Van Dyke Rd
Bruce TWP, MI 48065-3898
Phone (586) 277-0244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Apr 1, 2021 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Apr 1, 2021 Accepting new patients
Mendelson Orthopedics PC CurrentSince Jan 3, 2022 Accepting new patients
Mendelson Orthopedics PC CurrentSince Jan 3, 2022 Accepting new patients
American Therapy Centers, LLC Past Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

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

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161

35735 Mound Rd
Sterling Heights, MI 48310
Phone (586) 261-1960

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

Interoperability endpoints

  • Direct secure messaging: tdennis1048579@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1952949117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19609 ROSEDALE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-261-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31290 Groesbeck Hwy",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480262517",
            "country_code": "US",
            "telephone_number": "566-944-2272 x56694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45300 Mound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483175109",
            "country_code": "US",
            "telephone_number": "586-439-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TREVOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.