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

Petra Toutanji, MD

Individual provider Family Medicine Physician · NPI 1720298359

Petra Toutanji, MD is a Family Practice in Portage, Michigan. Qualified in 1996, 30 years ago. Practices with Ella E M Brown Charitable Circle, a 174-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Michigan.

Years since qualifying
30
Licensed in
AL, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3300 W Centre Ave
Portage, MI 49024-4666
Phone: (269) 324-8950
Fax: (269) 324-2134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301108869 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 28476 (AL)

Record details

NPI number1720298359
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 30, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Ella E M Brown Charitable Circle — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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