THOMAS FAGAN
NPI 1174133292
Emergency Medicine in Detroit, MI

Q: What is Thomas Fagan's NPI number?

The NPI number for Thomas Fagan is 1174133292. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Q: What is Thomas Fagan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Fagan was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2020PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1553 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, Mar 31, 2021, Aug 4, 2020 (3 updates tracked since 2020).

On this page

About Thomas Fagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS FAGAN (NPI 1174133292) is an individual emergency medicine provider in Detroit, Michigan, licensed in Michigan (4301511262) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1174133292

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTHOMAS FAGAN

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-1553

Phone(313) 916-1553

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 4, 2020

Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1174133292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4301511262

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 Cooper AveSaginaw, MI 48602-5383 · Phone (989) 583-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Fagan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143624049

PECOS Enrollment IDI20240529000367

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital