Individual provider Active NPI

James Fontanesi, M.D.

  • Radiation Oncology Physician
  • Farmington Hills, MI
National Provider Identifier
1316918519
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
430118443 Issued in MI
Practice address
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5939
Phone
(248) 477-0552
Fax
(248) 477-0742
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 430118443 MI Primary

Addresses

Primary practice location

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5939

Mailing address

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5939
Phone (248) 477-0552

Other identifiers 2

IdentifierTypeStateIssuer
1316918519MedicaidMI
700H273300OtherMIBLUE SHIELD

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
I20070110000544 MI Practitioner - Radiation Oncology 4789575770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
American Medical Missionary College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430118443MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Apr 1, 2018 Accepting new patients
VRF Eye Specialty Group, PLC Past Accepting new patients
University Radiation Oncology Consultants, PLLC Radiation Oncology PastSince Mar 1, 2004 Accepting new patients
VRF Eye Specialty Group, PLC Past Accepting new patients

Locations

6770 Dixie Hwy
Ste 106
Clarkston, MI 48346
Phone (248) 625-0300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

13530 Michigan Ave
Ste 280
Dearborn, MI 48126
Phone (313) 476-3940

27900 Grand River Ave
Ste 120
Farmington Hills, MI 48336
Phone (248) 471-8120

27900 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8120

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

32255 Northwestern Hwy
Ste 150
Farmington Hills, MI 48334
Phone (248) 419-3456

17435 Hall Rd
Macomb, MI 48044
Phone (586) 228-0299

27301 Dequindre Rd
Ste 314
Madison Hts, MI 48071
Phone (248) 399-4400

27483 Dequindre Rd
Ste 101
Madison Hts, MI 48071
Phone (248) 544-9050

70 Fulton St
Pontiac, MI 48341
Phone (248) 338-0300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

18325 E 10 Mile Rd
Roseville, MI 48066
Phone (586) 447-4000

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

3577 W 13 Mile Rd
Ste 204
Royal Oak, MI 48073
Phone (248) 551-2441

3601 W 13 Mile Rd
Royal Oak, MI 48073

3577 W 13 Mile Rd
Ste 310
Royal Oak, MI 48073
Phone (248) 329-3060

4550 Investment Dr
Ste B111
Troy, MI 48098
Phone (248) 952-5019

Organizations & group practices 6

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 11

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1316918519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27900 GRAND RIVER AVE",
            "address_2": "SUITE 220",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365939",
            "telephone_number": "248-477-0552",
            "fax_number": "248-477-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27900 GRAND RIVER AVE",
            "address_2": "SUITE 220",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365939",
            "telephone_number": "248-477-0552",
            "fax_number": "248-477-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANESI",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "430118443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316918519",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H273300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.