Individual provider Active NPI

Carla Freigeh, PA-C

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1386147981
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008443 Issued in MI
Practice address
22151 Moross Rd
Detroit, MI 48236-2167
Phone
(586) 484-5600
NPI assigned
Mar 10, 2018
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008443 MI Primary

Addresses

Primary practice location

22151 Moross Rd
Detroit, MI 48236-2167

Mailing address

4117 Lindow Dr
Sterling Heights, MI 48310-5022

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130000603 MI Practitioner - Physician Assistant 4486991304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, shared by 8 NPIs, 155 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Jan 11, 2019 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 26, 2026 Accepting new patients
Henry Ford Semi Medical Group Physician Assistant CurrentSince Jan 11, 2019 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 26, 2026 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Physician Assistant CurrentSince Jan 26, 2026 Accepting new patients

Locations

22151 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-4867

13350 24 Mile Rd
Ste 700
Shelby Township, MI 48315
Phone (586) 254-2777

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

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: cfreigeh1127252@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1386147981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 LINDOW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "586-484-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIGEH",
        "first_name": "CARLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.