Individual provider Active NPI

James Robert Frew Jr., MD

  • General Practice Physician
  • Traverse City, MI
National Provider Identifier
1518147149
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301044056 Issued in MI
Practice address
814 S Garfield Ave
Ste C
Traverse City, MI 49686-2401
Phone
(231) 349-5707
Fax
(231) 486-6042
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301044056 MI Primary

Addresses

Primary practice location

814 S Garfield Ave
Ste C
Traverse City, MI 49686-2401

Mailing address

814 S Garfield Ave
Ste C
Traverse City, MI 49686-2401
Phone (231) 349-5707

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
I20080310000052 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Addiction Medicine 8729163274 Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301044056MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Medical Services PLC PastSince Nov 6, 2017 Accepting new patients
Center for Health PLLC PastSince Apr 1, 2009 Accepting new patients
Shepherd of Hope Clinic PC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1518147149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S GARFIELD AVE",
            "address_2": "STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862401",
            "telephone_number": "231-349-5707",
            "fax_number": "231-486-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S GARFIELD AVE",
            "address_2": "STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862401",
            "telephone_number": "231-349-5707",
            "fax_number": "231-486-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREW",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301044056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.