DR. TRENT MICHAEL TENNYSON M.D.
NPI 1851654966
Emergency Medicine in Dearborn, MI
NPI Status: Active since June 22, 2012
Contact Information
19401 HUBBARD DR
DEARBORN, MI
ZIP 48126
Phone: (313) 982-8369
- Individual
- Male
- Emergency Medicine
- Opted-Out Medicare
About TRENT TENNYSON
This page provides the complete NPI Profile along with additional information for Trent Tennyson, a provider established in Dearborn, Michigan with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1851654966 assigned on June 2012. The practitioner's primary taxonomy code is 207P00000X with license number 4301113830 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1851654966
- Provider Name
- DR. TRENT MICHAEL TENNYSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 19401 HUBBARD DR DEARBORN, MI 48126
- Location Phone
- (313) 982-8369
- Mailing Address
- 19401 HUBBARD DR DEARBORN, MI 48126
- Mailing Phone
- (313) 982-8369
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-22-2012
- Last Update Date
- 06-30-2021
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Trent Tennyson opted out of Medicare effective on 05-07-2025 until 05-07-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 441 Shady Ave Apartment 31
Pittsburgh, PA 15206
(631) 603-6611
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301113830
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 25MA11085700 (NJ) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | MT201280 (PA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-07-2025
Opt-Out End Date: 05-07-2027
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 52 times for 52 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 433 times for 417 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 102 times for 101 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 34 times for 34 patientsReviews for DR. TRENT MICHAEL TENNYSON M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1851654966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851654966, enumerated as an "individual" on June 22, 2012.
The provider is located at 19401 HUBBARD DR DEARBORN, MI 48126 and the phone number is (313) 982-8369.
Emergency Medicine with taxonomy code 207P00000X.
