NPIMap

Individual provider Active NPI

Fredrick S Junn, MD

  • Neurological Surgery Physician
  • Dearborn, MI
National Provider Identifier
1043385784
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301067029 Issued in MI
Practice address
18181 Oakwood Blvd Ste 403
Dearborn, MI 48124-3960
Phone
(313) 438-5560
Fax
(313) 438-5575
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301067029 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 403
Dearborn, MI 48124-3960

Mailing address

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 784-3667

Other practice location 1

29275 Northwestern Hwy Ste 100
Southfield, MI 48034-5700
Phone (248) 784-3667

Other identifiers 1

IdentifierTypeStateIssuer
FJ067029OtherCOMMERCIAL-COMMERCIAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fredrick.junn.p1@direct.mhsineuro.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070426000143 MI Practitioner - Neurosurgery 3779689492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Neurosurgical Associates PCGroup PAC ID 9739139759, 34 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

18181 Oakwood Blvd
Suite 403
Dearborn, MI 48124-3960
Phone (877) 784-3667

23852 Michigan Ave
Dearborn, MI 48124-1829

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion230
Laminectomy or laminotomy (partial removal of spine bones)32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC Neurological Surgery CurrentSince May 1, 2016 Accepting new patients
University Neurosurgical Associates PC CurrentSince May 1, 2016 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Group IX, LLC Neurological Surgery Past Accepting new patients
University Neurosurgical Associates Neurological Surgery Past Accepting new patients
Michigan Brain and Spine Neurological Surgery Past Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

18181 Oakwood Blvd
Ste 403
Dearborn, MI 48124
Phone (313) 438-5560

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Organizations & group practices 6

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

Hospital & facility affiliations 8

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1043385784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY",
            "address_2": "STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 403",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243960",
            "telephone_number": "313-438-5560",
            "fax_number": "313-438-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29275 Northwestern Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480345700",
            "country_code": "US",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNN",
        "first_name": "FREDRICK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301067029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "FJ067029",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fredrick.junn.p1@direct.mhsineuro.nextgenshare.com",
            "affiliation": "N",
            "address_1": "29275 Northwestern Hwy Ste 100",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480345700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.