Individual provider Active NPI

Frank P Nysowy, P.A.

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1053315580
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001385 Issued in MI
Practice address
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone
(248) 280-8550
Fax
(248) 280-8571
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001385 MI Primary

Addresses

Primary practice location

30575 Woodward Ave
Royal Oak, MI 48073-0980

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (833) 667-6327

Other practice location 1

24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345
Phone (248) 988-8085

Other practice location 2

33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586
Phone (248) 855-7400

Other practice location 3

26750 Providence Pkwy Ste 220
Novi, MI 48374-1212
Phone (248) 596-0412

Other practice location 4

45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400

Other practice location 5

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

Other practice location 6

4967 Crooks Rd Ste 100
Troy, MI 48098-5812
Phone (248) 846-8060

Other practice location 7

26025 Lahser Rd Fl 2
Southfield, MI 48033-2606
Phone (248) 663-1900

Other practice location 8

1350 Kirts Blvd Ste 160
Troy, MI 48084-4852
Phone (248) 244-9426

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frank.nysowy.1@9974.direct.athenahealth.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602002079 MI Order and Referring Only - Physician Assistant 9739131616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC PastSince Apr 15, 2021 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince May 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: frank.nysowy.1@9974.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1053315580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "833-667-6327",
            "fax_number": "833-972-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730980",
            "telephone_number": "248-280-8550",
            "fax_number": "248-280-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24255 W 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254345",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "844-598-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33200 W 14 Mile Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223586",
            "country_code": "US",
            "telephone_number": "248-855-7400",
            "fax_number": "844-598-9634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741212",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "833-471-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "833-561-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17877 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480253127",
            "country_code": "US",
            "telephone_number": "248-644-3920",
            "fax_number": "844-598-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "833-303-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26025 Lahser Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1900",
            "fax_number": "844-598-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844852",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "844-607-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYSOWY",
        "first_name": "FRANK",
        "middle_name": "P",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frank.nysowy.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30575 Woodward Ave",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480730980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.