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

Tom Stathakios, MD

Individual provider Anesthesiology Physician · NPI 1255405767

Tom Stathakios, MD is an Anesthesiology in Dearborn, Michigan. Graduated from Wayne State University School of Medicine in 1987, 39 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group and works from 3 locations. Licensed in Michigan.

Years since qualifying
39
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
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

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 436-2374
Show map & directions

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

Additional practice locations (2)

  • 5450 Fort St, Trenton, MI 48183-4601 — (734) 671-3666
  • 33155 Annapolis St, Wayne, MI 48184-2405 — (734) 467-4667

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 058286 (MI)

Record details

NPI number1255405767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESMarch 17, 2018
Mailing address2 Columbia Dr, Sutie A327, Tampa, FL 33606-3508

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated

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