Tiberio Michele Frisoli, MD
Individual provider Active NPI Cardiovascular Disease Physician · Brownstown TWP, MI
NPI 1609178581 · NPPES record last updated May 25, 2018
Key facts
- NPI
- 1609178581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 4301100388 (MI)
- Practice address
- 23050 West Rd Ste 120
Brownstown TWP, MI 48183-1470 - Phone
- (734) 671-1510
- Fax
- (734) 671-1570
- NPI assigned
- Nov 26, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Henry Ford Wyandotte Hospital
Henry Ford Health System
Practice addresses (Care Compare)
205 N E Ave
Henry Ford Allegiance Health
Jackson, MI 49201-1753
Phone (517) 205-4800
23050 W Rd
120 Henry Ford Wyandotte Cardiology Bro
Brownstown TWP, MI 48183-1470
Phone (734) 671-1510
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Health Hospital
- Henry Ford Allegiance Health
- Wyandotte Hospital and Medical Center
- Henry Ford Macomb Hospital
- Henry Ford Health West Bloomfield Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131121001169 | MI | Practitioner - Cardiovascular Disease (Cardiology) |
8123254117 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301100388 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Wa Foote Memorial Hospital Inc. | Hospitalist | Current |
Accepting new patients |
| Henry Ford Health System | Cardiovascular Disease | Current |
Accepting new patients |
| Independent Emergency Physicians, P.C. | Current |
Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Cardiovascular Disease | Current |
Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Cardiovascular Disease | Current |
Accepting new patients |
| Henry Ford Wyandotte Hospital | Current |
Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020
1100 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7605
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
Interoperability endpoints
- tfrisoli61622@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301100388 | MI | |
| Internal Medicine Physician | 207R00000X | 4301100388 | MI | |
| Hospitalist Physician | 208M00000X | 4301100388 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301100388 | MI | Yes |
Addresses
Primary practice location
23050 West Rd Ste 120
Brownstown TWP, MI 48183-1470
Mailing address
2915 John R St
Apt 306
Detroit, MI 48201-2908
Phone (201) 618-3856
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-4000
Other providers in Brownstown TWP, MI
- William M Ellington
- Embrace Home Care, LLC
- Empowerment Counseling Services PLLC
- Excellent Care Physical Therapy PC
- Caitlin Marie Flis
- Courtney Ann Gearhart
- Hussein Khalil Gharib
- Great Lakes Urogynecology PLC
- Griswold Chiropractic PLLC
- Kevin Michael Griswold
All providers in Brownstown TWP, MI · Cardiovascular Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.