Active NPI
Frank V Tilli, MD
- Interventional Cardiology Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4301065166
- Practice address
- 3452 Genesys Pkwy
Grand Blanc, MI 48439-7334 - Phone
- (810) 606-7550
- NPI assigned
- Jul 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD061859L | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 4301065166 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 4301065166 | MI | Primary |
Addresses
Primary practice location
3452 Genesys Pkwy
Grand Blanc, MI 48439-7334
Mailing address
3452 Genesys Pkwy
Grand Blanc, MI 48439-7334
Phone (810) 606-7550
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0086918000 | Medicaid | WV | |
| ON72340 | Other | MI | MEDICARE GROUP |
| 0016580440010 | Medicaid | PA | |
| 0250723 | Other | MI | BCBS |
| 2444091 | Medicaid | OH |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Perelman School of Med at the University of Pennsylvania, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550
Hospital & facility affiliations
- Ascension Genesys Hospital
- McLaren Flint
- Henry Ford Health Hospital
- University of Michigan Health System
- Beaumont Hospital Royal Oak
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD061859L | PA | MD | Cardiovascular Disease Physician |
| 4301065166 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Cardiovascular Disease | Current | Accepting new patients |
| Genesys Practice Partners, Inc | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Past | Accepting new patients |
Locations
1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011
3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
3399 Pollock Rd
Grand Blanc, MI 48439
Phone (810) 603-0170
3452 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 603-0170
1 Genesys Pkwy
Ste 4620
Grand Blanc, MI 48439
Phone (810) 606-1460
5445 Ali Dr
Dept 300
Grand Blanc, MI 48439
Interoperability endpoints
- frank.tilli.1@8209.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1982647004
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1194774752
Cardiovascular Disease
-
- Psychiatry Physician
- Grand Blanc, MI
- NPI 1336842160
-
- Physician Assistant
- Grand Blanc, MI
- NPI 1114060837
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1154321990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397334",
"telephone_number": "810-606-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3452 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397334",
"telephone_number": "810-606-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLI",
"first_name": "FRANK",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD061859L",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301065166",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301065166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0086918000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "ON72340",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016580440010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0250723",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2444091",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.