Active NPI
James Fontanesi, M.D.
- Radiation Oncology Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 430118443
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316918519 | Medicaid | MI | |
| 700H273300 | Other | MI | BLUE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 430118443 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| VRF Eye Specialty Group, PLC | Past | Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Radiation Oncology | Past | 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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
-
- Optometrist
- Hernando, MS
- NPI 1255954863
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1699729806
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.