Individual provider Active NPI

Regina Frost, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Clair Shores, MI
National Provider Identifier
1215148689
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301083979 Issued in MI
Practice address
22050 Mack Ave
Saint Clair Shores, MI 48080-2388
Phone
(586) 777-2550
Fax
(586) 777-2447
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 4301083979 MI
Obstetrics Physician 207VX0000X 4301083979 MI
Obstetrics & Gynecology Physician 207V00000X 4301083979 MI Primary

Addresses

Primary practice location

22050 Mack Ave
Saint Clair Shores, MI 48080-2388

Mailing address

PO Box 806445
Saint Clair Shores, MI 48080-6445
Phone (586) 777-2550

Other identifiers 2

IdentifierTypeStateIssuer
700E012740OtherMIBCBS GROUP NUMBER
16-0502285-2OtherMIBCBS INDIVIDUAL PIN

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
I20080619000240 MI Practitioner - Obstetrics/Gynecology 1456422476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Practice addresses (Care Compare)

21000 E 12 Mile Rd
Suite 102
Saint Clair Shores, MI 48081-1156
Phone (810) 447-5100

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083979MIMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2009 Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology Current Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Jul 1, 2008 Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Jul 1, 2008 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Jul 1, 2009 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

22101 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

20373 Hall Rd
Macomb, MI 48044
Phone (586) 263-3886

3601 W 13 Mile Rd
Royal Oak, MI 48073

22050 Mack Ave
St Clr Shores, MI 48080
Phone (586) 777-2550

21000 E 12 Mile Rd
Ste 102
St Clr Shores, MI 48081
Phone (586) 447-5100

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • Direct secure messaging: rfrostclark1127328@direct.hfhs.org

Organizations & group practices 8

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1215148689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806445",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480806445",
            "telephone_number": "586-777-2550",
            "fax_number": "586-777-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22050 MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802388",
            "telephone_number": "586-777-2550",
            "fax_number": "586-777-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "REGINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301083979",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301083979",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301083979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PIN",
            "identifier": "16-0502285-2",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.