MICHELLE A PETROPOULOS PA
NPI 1982632352
Physician Assistant - Medical in Troy, MI

Q: What is Michelle Petropoulos's NPI number?

The NPI number for Michelle Petropoulos is 1982632352. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Michelle Petropoulos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since June 28, 2006PECOS Enrolled

44201 DEQUINDRE RD STE EC, TROY, MI 48085(248) 964-5111(248) 964-5068 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Michelle A Petropoulos Pa NPPES

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

MICHELLE A PETROPOULOS PA (NPI 1982632352) is an individual medical provider in Troy, Michigan, licensed in Michigan (5601002993) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison Heights.

NPPES Registry Identity

NPI1982632352

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMICHELLE A PETROPOULOSCredential: PA

Location Address44201 DEQUINDRE RD STE ECTroy, MI 48085-1117

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1865 · Fax (947) 522-0307

Phone(248) 964-5111

Fax(248) 964-5068

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 29, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1982632352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601002993

44201 DEQUINDRE RD STE EC, Troy, MI 48085

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Secondary Practice Location 1

Location 11200 W 12 Mile RdMadison Heights, MI 48071-4439 · Phone (248) 543-0600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle A Petropoulos Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

COURTNEY ANNE CROWLEY CPNP-PC

Nurse Practitioner (Pediatrics)