1. Home
  2. Directory
  3. Michigan
  4. Dearborn
  5. Emergency Medicine
  6. NPI Profile

DR. TRENT MICHAEL TENNYSON M.D.
NPI 1851654966
Emergency Medicine in Dearborn, MI

Active since June 22, 2012Opted out of Medicare · through May 7, 2027
19401 HUBBARD DR, DEARBORN, MI 48126(313) 982-8369 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2021, Sep 11, 2018 (2 updates tracked since 2018).

About Dr. Trent Michael Tennyson M.d. NPPES

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

DR. TRENT MICHAEL TENNYSON M.D. (NPI 1851654966) is an individual emergency medicine provider in Dearborn, Michigan, licensed in Michigan (4301113830) and active in the NPI registry since June 2012. He has opted out of Medicare through May 7, 2027 and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1851654966
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TRENT MICHAEL TENNYSONCredential: M.D.
Location Address19401 HUBBARD DRDearborn, MI 48126-2641
Mailing Address19401 Hubbard DrDearborn, MI 48126-2641 · (313) 982-8369
Phone(313) 982-8369
Sole ProprietorYes
Enumeration DateJune 22, 2012
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1851654966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MI · 4301113830✔ Licensed in NJ · 25MA11085700✔ Licensed in PA · MT201280
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.
19401 HUBBARD DR, Dearborn, MI 48126
Open in Google Maps ↗

Secondary Practice Location 1

Location 1441 Shady Ave, Apartment 31Pittsburgh, PA 15206-4818 · Phone (631) 603-6611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Trent Michael Tennyson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2025 through May 7, 2027.

Opt-Out Effective DateMay 7, 2025
Opt-Out In Effect ThroughMay 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. CLARENCE C. RAYOS D.O.
Anesthesiology
19401 HUBBARD DR
DEARBORN, MI 48126
Wayne County (313) 982-8280
ROHIT PATKI
Pharmacist
19401 HUBBARD DR
DEARBORN, MI 48126
Wayne County (313) 982-8015
DR. CATHERINE ROSE CHERRI M.D.
Family Medicine
19401 HUBBARD DR
DEARBORN, MI 48126
Wayne County (313) 982-8100
SABA JAVAID M.D
Pediatrics
19401 HUBBARD DR
DEARBORN, MI 48126
Wayne County (313) 982-4400
ARCHANA C DESAI MD
Emergency Medicine
19401 HUBBARD DR, DEPARTMENT OF EMERGENCY MEDICINE
DEARBORN, MI 48126
Wayne County (313) 982-8100
DR. ANAS KUTAIT M.D.
Internal Medicine (Gastroenterology)
19401 HUBBARD DR
DEARBORN, MI 48126
Wayne County (313) 916-8632
DR. MAZEN ELATRACHE MD
Internal Medicine (Gastroenterology)
19401 HUBBARD DR, HENRY FORD FAIRLANE MEDICAL CENTER
DEARBORN, MI 48126
Wayne County (313) 982-9307
DR. JAMES W. NOHL M.D.
Obstetrics & Gynecology
19401 HUBBARD DR
DEARBORN, MI 48126
Wayne County (313) 982-8243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trent Tennyson's NPI number?

The NPI number for Trent Tennyson is 1851654966. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Trent Tennyson located?

Trent Tennyson practices at 19401 Hubbard Dr, Dearborn, MI 48126. The listed phone number is (313) 982-8369.

What is Trent Tennyson's specialty?

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

Is Trent Tennyson enrolled in Medicare?

No. Trent Tennyson has opted out of Medicare through May 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Trent Tennyson was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.