Active NPI
Teresa S. Birkmeier-Fredal, M.D.
- Family Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1578637187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301074918
- Practice address
- 245 Barclay Cir
Suite 600
Rochester Hills, MI 48307-5815 - Phone
- (248) 289-6349
- Fax
- (248) 289-6923
- NPI assigned
- Nov 17, 2006
- Last updated
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301074918 | MI | Primary |
Addresses
Primary practice location
245 Barclay Cir
Suite 600
Rochester Hills, MI 48307-5815
Mailing address
245 Barclay Cir
Suite 600
Rochester Hills, MI 48307-5815
Phone (248) 289-6349
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 444545210 | Medicaid | MI | |
| 080H262390 | Other | BLUE CROSS-BLUE CROSS | |
| TB074918 | Other | CHAMPUS-CHAMPUS | |
| TB074918 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 24, 2016 through Mar 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1578637187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 BARCLAY CIR",
"address_2": "SUITE 600",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075815",
"telephone_number": "248-289-6349",
"fax_number": "248-289-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 BARCLAY CIR",
"address_2": "SUITE 600",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075815",
"telephone_number": "248-289-6349",
"fax_number": "248-289-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKMEIER-FREDAL",
"first_name": "TERESA",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301074918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "444545210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "080H262390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "TB074918",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "TB074918",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.