Active NPI
Trevor Dennis, PA-C
- Physician Assistant
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 35735 Mound Rd
Sterling Heights, MI 48310-4728 - Phone
- (586) 261-1960
- NPI assigned
- Dec 18, 2019
- Last updated
- Jun 27, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | 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
- 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.
-
dba Henry Ford GoHealth Urgent Care
- Urgent Care Clinic/Center
- Detroit, MI
- NPI 1184389876
-
- Urgent Care Clinic/Center
- Eastpointe, MI
- NPI 1982125126
-
dba St John North Shores Hospital
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
dba mendelson kornblum orthopedic and spine surgeons
- Orthopaedic Surgery Physician
- Sterling Heights, MI
- NPI 1720395205
-
- Urgent Care Clinic/Center
- Westland, MI
- NPI 1407207327
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1285893727
-
dba Mendelson Schoenherr
- Interventional Pain Medicine Physician
- Warren, MI
- NPI 1700239415
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Westland, MI
- NPI 1316059413
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.