Individual provider Active NPI

Dani Fribourg

  • Pulmonary Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1134575798
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301119077 Issued in MI
Practice address
29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone
(248) 440-2127
Fax
(248) 350-2722
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301119077 MI
Pulmonary Disease Physician 207RP1001X 4301119077 MI Primary

Addresses

Primary practice location

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817

Mailing address

2600 Sixth St SW
Canton, OH 44710-1702

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
I20220512002544 MI Practitioner - Pulmonary Disease 8123312493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Sleep and Pulmonary Medicine PLLCGroup PAC ID 1658333125, 14 clinicians

Practice addresses (Care Compare)

16001 W Nine Mile Rd
Southfield, MI 48075-4803
Phone (248) 849-3000

26850 Providence Pkwy
Suite 501
Novi, MI 48374-1267
Phone (248) 662-4379

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
64.51 of 100Reported as individual
Quality
88.12
Improvement activities
0
Cost
77.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Sleep & Pulmonary Medicine PLLC Critical Care Medicine CurrentSince Apr 1, 2022 Accepting new patients

Locations

29275 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 350-2722

Interoperability endpoints

  • Direct secure messaging: dfribourg1127278@direct.hfhs.org

Organizations & group practices 1

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 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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1134575798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-440-2127",
            "fax_number": "248-350-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIBOURG",
        "first_name": "DANI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301119077",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301119077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.