Individual provider Active NPI

Tosan A Fregene, M.D.

  • Hematology & Oncology Physician
  • Oak Park, MI
National Provider Identifier
1336189513
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
TF053107 Issued in MI
Practice address
20770 Greenfield Rd
Ste a
Oak Park, MI 48237-3018
Phone
(249) 967-8800
Fax
(248) 967-0035
NPI assigned
Jun 7, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X TF053107 MI Primary

Addresses

Primary practice location

20770 Greenfield Rd
Ste a
Oak Park, MI 48237-3018

Mailing address

PO Box 47369
Oak Park, MI 48237-5069
Phone (248) 967-8800

Other identifiers 1

IdentifierTypeStateIssuer
3173875MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060925000139 MI Practitioner - Hematology/OncologyPractitioner - Hospice/Palliative Care 6406757863 Reassigns benefits to 1 organization
I20260512003471 MN Practitioner - Hematology/Oncology 6406757863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hospice/Palliative Care
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
CCM HealthGroup PAC ID 4284539453, 69 clinicians

Practice addresses (Care Compare)

20770 Greenfield Rd
Suite 1a
Oak Park, MI 48237-3018
Phone (248) 967-8800

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TF053107MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Motor City Internists PastSince Apr 1, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tfregene@direct.dmc.org
  • Direct secure messaging: tfregene1127241@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1336189513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47369",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375069",
            "telephone_number": "248-967-8800",
            "fax_number": "248-967-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20770 GREENFIELD RD",
            "address_2": "STE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373018",
            "telephone_number": "249-967-8800",
            "fax_number": "248-967-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREGENE",
        "first_name": "TOSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "TF053107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3173875",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.