Thomas Carberry, M.D.

Pediatrics, Pediatric Cardiology in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1487043907

StatusActive

Last updated in NPPESOct 21, 2026

Details

NPI: 1487043907
Entity type: Individual (NPI-1)
Name: Thomas Carberry
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jan 21, 2015
Certification date: Oct 21, 2026
Last updated: Oct 21, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0202X	Pediatrics, Pediatric Cardiology	4301506609	MI	Yes

Practice location

25 Michigan St Ne
Grand Rapids, MI 49503-2515

Phone 616-267-9150 · Fax 616-267-1408

Mailing address

25 Michigan St Ne
Grand Rapids, MI 49503-2515

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Cardiology Physician providers in Grand Rapids, MI

All 27 Pediatric Cardiology Physician providers in Grand Rapids · All 20,987 providers in Grand Rapids

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