Active NPI
Florante Fermil, M.D.
- Internal Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1063496347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301058708
- Practice address
- 3950 S Rochester Rd
Suite 1200
Rochester Hills, MI 48307-5160 - Phone
- (248) 844-6000
- Fax
- (248) 844-6159
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301058708 | MI | Primary |
Addresses
Primary practice location
3950 S Rochester Rd
Suite 1200
Rochester Hills, MI 48307-5160
Mailing address
3950 S Rochester Rd
Suite 1200
Rochester Hills, MI 48307-5160
Phone (248) 844-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0633408 | Other | MI | BCBS INDIVIDUAL |
| G08719 | Other | MI | HAP |
| 1063496347 | Medicaid | MI | |
| 700H217350 | Other | MI | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301058708 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1063496347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 S ROCHESTER RD",
"address_2": "SUITE 1200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075160",
"telephone_number": "248-844-6000",
"fax_number": "248-844-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 S ROCHESTER RD",
"address_2": "SUITE 1200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075160",
"telephone_number": "248-844-6000",
"fax_number": "248-844-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERMIL",
"first_name": "FLORANTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301058708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "0633408",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "G08719",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063496347",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "700H217350",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.