Individual provider Active NPI

Kimberly R Friar, MD

  • Family Medicine Physician
  • Charlotte, MI
National Provider Identifier
1407879653
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KJ068519 Issued in MI
Practice address
123 Lansing St
Suite 3a
Charlotte, MI 48813-1696
Phone
(517) 543-0600
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KJ068519 MI Primary

Addresses

Primary practice location

123 Lansing St
Suite 3a
Charlotte, MI 48813-1696

Mailing address

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Other identifiers 4

IdentifierTypeStateIssuer
200000002175OtherMIPHP
0803305452OtherMIBLUE CROSS BLUE SHIELD
4149293MedicaidMI
080147795OtherRAILROAD MEDICARE

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
I20101101000897 MI Practitioner - Family Practice 9931114691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Eaton HospitalGroup PAC ID 0042103509, shared by 4 NPIs, 45 clinicians

Practice addresses (Care Compare)

111 Lansing St
Charlotte, MI 48813-2400

123 Lansing St
Charlotte, MI 48813-1696

1415 S Main St
Eaton Rapids, MI 48827-1959
Phone (517) 663-4809

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KJ068519MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Dec 1, 1999 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jun 15, 2025 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jun 15, 2025 Accepting new patients
Sparrow Eaton Hospital Family Medicine CurrentSince Dec 1, 1999 Accepting new patients
Sparrow Eaton Hospital CurrentSince Nov 23, 2025 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

123 Lansing St
Charlotte, MI 48813
Phone (517) 543-2020

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

123 Lansing St
Ste 3
Charlotte, MI 48813

123 Lansing St
Ste 3C
Charlotte, MI 48813
Phone (517) 543-9564

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

123 Lansing St
Ste 3A
Charlotte, MI 48813
Phone (517) 543-0600

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1415 S Main St
Ste B
Eaton Rapids, MI 48827
Phone (517) 781-4999

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • Direct secure messaging: kimberly.johnson@hgb.eclinicaldirectplus.com
  • Direct secure messaging: kfriar69028@sparrowdirecthie.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 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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1407879653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-1050",
            "fax_number": "517-541-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING ST",
            "address_2": "SUITE 3A",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-543-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAR",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KJ068519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000002175",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0803305452",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4149293",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080147795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.