Individual provider Active NPI

Fabian L Fregoli, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1023062759
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076832 Issued in MI
Practice address
43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1951
Phone
(586) 726-4823
Fax
(586) 726-8365
NPI assigned
May 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301076832 MI Primary

Addresses

Primary practice location

43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1951

Mailing address

43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1951
Phone (586) 726-4823

Other identifiers 1

IdentifierTypeStateIssuer
4532215MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930001186 MI Practitioner - Family Practice 8729057237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Ooma Primary LLCGroup PAC ID 7012316664, 45 clinicians
SJMH Medical Practice-SMHCGroup PAC ID 8628965175, 27 clinicians

Practice addresses (Care Compare)

1375 S Lapeer Rd
Suite 210 Iha Lake Orion Primary Care
Lake Orion, MI 48360-1421
Phone (248) 693-5700

1854 W Auburn Rd
Rochester Hills, MI 48309-3868
Phone (248) 696-3170

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-6101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.43 of 100Reported as group
Quality
84.93
Improvement activities
0
Cost
73.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Ooma Primary LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Dec 1, 2007 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Dec 1, 2007 Accepting new patients
Iha Ooma Primary LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

1375 S Lapeer Rd
Ste 210
Lake Orion, MI 48360
Phone (248) 693-5700

44555 Woodward Ave
Ste 402
Pontiac, MI 48341
Phone (248) 332-0151

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023062759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "SUITE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131951",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "SUITE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131951",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREGOLI",
        "first_name": "FABIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4532215",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.