Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith B Tom, DO

Individual provider Family Medicine Physician · NPI 1609850130

Dr. Keith B Tom, DO is a Family Practice in Shelby Twp, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1985, 41 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
41
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

49221 Van Dyke
Shelby Twp, MI 48317-1336
Phone: (586) 254-4860
Fax: (586) 254-5844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101008999 (MI)

Record details

NPI number1609850130
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESOctober 25, 2007
Mailing address49221 Van Dyke, Shelby Twp, MI 48317-1336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelby Twp